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6139 Glenway Ave Cincinnati OH 45211-6312 | |
(513) 569-6380 | |
(513) 569-6320 |
Full Name | |
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Speciality | Family Medicine |
Location | 6139 Glenway Ave, Cincinnati, Ohio |
Authorized Official Name and Position | Donna S Nienaber (SENIOR VICE PRESIDENT, CORP 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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619 Oak St Cincinnati OH 45206-1613 Ph: (513) 569-6380 | 6139 Glenway Ave Cincinnati OH 45211-6312 Ph: (513) 569-6380 |
NPI Number | 1689928889 |
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Provider Enumeration Date | 11/09/2012 |
Last Update Date | 03/07/2013 |
Identifier | Type | State | Issuer |
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1689928889 | NPI | - | NPPES |
0078523 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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 |