| Fred L Tanzer | |
|
4750 Hempstead Station Dr Kettering OH 45429-5164 | |
| (513) 543-3746 | |
| (513) 557-3347 |
| Full Name | Fred L Tanzer |
|---|---|
| Speciality | Internal Medicine |
| Location | 4750 Hempstead Station Dr, Kettering, Ohio |
| Authorized Official Name and Position | Fred L Tanzer (PHYSICIAN) |
| Authorized Official Contact | 5135433746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred L Tanzer 4750 Hempstead Station Dr Kettering OH 45429-5164 Ph: (513) 543-3746 | Fred L Tanzer 4750 Hempstead Station Dr Kettering OH 45429-5164 Ph: (513) 543-3746 |
| NPI Number | 1033377718 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033377718 | NPI | - | NPPES |
| 0904721 | Medicaid | OH | |
| 110066520 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35058692 (Ohio) | Primary |
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