Individual
MARY MARGARET DUCK ROBERTSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4460 RED BANK RD, CINCINNATI, OH 45227-2172
(513) 475-7370
(513) 562-9098
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5501
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-098241
OH
208000000X
Pediatrics Physician
35-098241
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066760
—
OH
05
—
201122970
—
IN
05
—
7100207640
—
KY
Enumeration date
04/17/2008
Last updated
01/10/2018
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