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Individual

DEBRA L BRENEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. D.

Contact information

Practice address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2399
(513) 584-3686
(513) 475-7636
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.052109
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0613732
OH
Enumeration date
06/02/2006
Last updated
06/08/2017
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