Integrated Medical Group LLC

NPI #1912578550 in Defiance, Ohio

Provider Information

NPI Number: 1912578550
Entity Type: Organization
Organization Name: Integrated Medical Group LLC
Primary Specialty: General Practice
Enumeration Date: Jul 6, 2021
Last Updated: Sep 13, 2021

Practice Location

Address: 210 LATCHAW DR
City: Defiance
State: Ohio
ZIP Code: 43512-4315
Phone: (419) 785-4215

Authorized Official

Name: DR. MEGAN PARKS, DC
Title: OWNER/DOCTOR
Phone: (419) 785-4215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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