Individual
DR. RAYMOND DASENBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4357 FERGUSON DR, SUITE 150, CINCINNATI, OH 45245-1689
(513) 753-2820
(513) 753-2424
Mailing address
5400 DUPONT CIRCLE, SUITE A, MILFORD, OH 45150
(513) 576-7700
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35030286
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257832
—
OH
Enumeration date
05/25/2006
Last updated
08/11/2011
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