CLEANSLATE MEDICAL GROUP OF OHIO LLC

Internal Medicine - Addiction Medicine

Active Organization
NPI: 1558800193

Practice Address

4700 SPRINGBORO PIKE STE C
Moraine, OH 45439

Phone: (937) 558-5100

Specialties

Specialty Code Primary License
Internal Medicine - Addiction Medicine 207RA0401X Yes -

Frequently Asked Questions

NPI 1558800193 is the National Provider Identifier for CLEANSLATE MEDICAL GROUP OF OHIO LLC, a Internal Medicine - Addiction Medicine provider located in Moraine, OH. This NPI was enumerated on February 15, 2017.

Quick Facts

NPI
1558800193
Type
Organization
Enumerated
Feb 15, 2017
Last Updated
Dec 17, 2025

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