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Individual
JEREMIAH DANIEL DREISBACH
Active
Individual
JEREMIAH DANIEL DREISBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
069576
GA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
C159710
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME124053
FL
Other
Enumeration date
05/21/2010
Last updated
02/27/2019
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