NPI 1093864035

Main Street Family Practice INC

Organisation Family Medicine Physician Dayton, OH

Practice location

Address: 9000 North Main Street Suite 403, Dayton, OH 45415-1180
Phone: (937) 836-5171
Fax: (937) 832-0728

Authorised official

Name: Martin K Fujimura
Title: President
Phone: (937) 836-5171

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Ohio →

Registry record

NPI: 1093864035
Entity type: Organization
NPI issued: 9 Jan 2007
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.