Individual
CARRIE COOPER-FENSKE SANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
596 W MAIN ST, WILMINGTON, OH 45177-2123
(937) 283-2588
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 584-4800
(513) 584-0479
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01083558A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
35.095325
OH
207V00000X
Obstetrics & Gynecology Physician
46698
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070900
—
OH
05
—
7100211040
—
KY
Enumeration date
07/05/2008
Last updated
10/08/2020
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