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Individual
DR. JOHN HERGENROTHER
Active
Individual
DR. JOHN HERGENROTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35-07-5061
OH
207RN0300X
Nephrology Physician
37649
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2330203
—
OH
01
—
390008623
MEDICARE RAILROAD
OH
05
—
64054018
—
KY
Enumeration date
06/15/2006
Last updated
11/02/2011
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