Individual
DR. NICHOLAS THEODORE D'ENTREMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 523-2443
Mailing address
4005 ACADIA LN, MASON, OH 45036-7273
(410) 855-5475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.143899
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2019
Last updated
05/15/2025
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