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Individual

DEREK LEE BROERING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 384-6800
(937) 384-6938
Mailing address
3535 SOUTHERN BLVD., KETTERNG, OH 45429-1221
(937) 395-8839
(937) 395-8387

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.122640
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0099105
OH
Enumeration date
04/06/2012
Last updated
08/18/2016
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