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Individual

ALEXANDER GERHARD MIETHKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3333 BURNET AVENUE, GASTROENTEROLOGY & NUTRITION ML 2010, CINCINNATI, OH 45229-3039
(513) 636-4415
(513) 636-7805
Mailing address
3333 BURNET AVENUE, ML 5021, CINCINNATI, OH 45229-3039
(513) 636-5013
(866) 213-7084

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
57006204
OH

Other

Enumeration date
05/17/2007
Last updated
09/28/2012
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