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Organization
STUDEBAKER FAMILY PRACTICE INC.
Active
Organization
STUDEBAKER FAMILY PRACTICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI LETNER (OFFICE MANAGER)
(937) 833-4103
Entity
Organization
Contact information
Practice address
98 MOSIER PKWY, BROOKVILLE, OH 45309-1750
(937) 833-4103
(937) 833-3147
Mailing address
98 MOSIER PKWY, BROOKVILLE, OH 45309-1750
(937) 833-4103
(937) 833-3147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000233928
ANTHEM BC/BS
OH
05
—
2372696
—
OH
Enumeration date
05/14/2007
Last updated
07/01/2015
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