INTEGRATED MEDICAL GROUP LLC is a general practice in Defiance, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee INTEGRATED MEDICAL GROUP LLC NPI is 1912578550. The provider is registered as an organization entity type and is a multi-specialty group. The provider Former Legal Business Name Is Detray Chiropractic Center.
The provider's business location address is:
210 LATCHAW DR DEFIANCE, OH ZIP 43512-315 Phone: (419) 785-4215 Fax: (419) 785-4274
The provider's authorized official is Megan Parks . The authorized official title is Owner/doctor and has the following contact phone number (419) 785-4215.
The enumeration date for this NPI number is 7/6/2021 and was last updated on 9/13/2021.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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