Individual
FRANK T JENIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 MACK RD, SUITE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
(513) 751-4353
Mailing address
3000 MACK RD, SUITE 100, FAIRFIELD, OH 45014-5335
(513) 751-4222
(513) 751-4353
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35.031105
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166350
—
OH
05
—
100348670
—
IN
05
—
64864184
—
KY
Enumeration date
07/15/2005
Last updated
11/12/2015
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