Organization
CORWIN R DUNN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MICHELE LATHAM (OFFICE MANAGER)
(513) 474-9800
Entity
Organization
Contact information
Practice address
2123 AUBURN AVE, SUITE 242, CINCINNATI, OH 45219-2906
(513) 474-9800
(513) 474-9805
Mailing address
2123 AUBURN AVE, SUITE 242, CINCINNATI, OH 45219-2906
(513) 474-9800
(513) 474-9805
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35029554
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0286677
—
OH
05
—
356476167900
—
KY
Enumeration date
01/10/2008
Last updated
01/10/2008
Update your record
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