NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1326334624 |   |   |   | SOUTH COMMUNITY PRIMARY CARE INC | 3095 KETTERING BLVD | MORAINE | OH | 45439 |
1821541863 | HEIL | KIMBERLY |   |   | 3095 KETTERING BLVD | MORAINE | OH | 454391983 |
1194269936 | STAAS | MEREDITH |   |   | 3095 KETTERING BLVD | MORAINE | OH | 454391983 |