Individual
JOSEPH R DAGENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2123 AUBURN AVE, SUITE 440, CINCINNATI, OH 45219-2906
(513) 585-2393
(513) 421-2601
Mailing address
2123 AUBURN AVE, SUITE 440, CINCINNATI, OH 45219-2906
(513) 585-2393
(513) 421-2601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.077956
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2387902
—
OH
05
—
7100105260
—
KY
Enumeration date
08/11/2005
Last updated
10/26/2020
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