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375 Dixmyth Ave Cincinnati OH 45220-2475 | |
(513) 862-2864 | |
(513) 862-2573 |
Full Name | |
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Speciality | Internal Medicine |
Location | 375 Dixmyth Ave, Cincinnati, Ohio |
Authorized Official Name and Position | Donna S Nienaber (SENIOR VP CORPORATE COUNSEL) |
Authorized Official Contact | 5135696062 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 635257 Cincinnati OH 45263-5257 Ph: (513) 862-2864 | 375 Dixmyth Ave Cincinnati OH 45220-2475 Ph: (513) 862-2864 |
NPI Number | 1902165087 |
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Provider Enumeration Date | 05/10/2012 |
Last Update Date | 05/10/2012 |
Identifier | Type | State | Issuer |
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1902165087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Oki Kidney Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4760 E Galbraith Rd, Ste 217, Cincinnati, OH 45236 Phone: 513-842-2000 | |
Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 |