Individual
MICHAEL J REBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, DPM
Contact information
Practice address
30 E APPLE ST, SUITE 6250, DAYTON, OH 45409-2939
(937) 208-8394
(937) 420-8838
Mailing address
30 E APPLE ST, SUITE 6250, DAYTON, OH 45409-2939
(937) 208-8394
(937) 420-8838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34007200
OH
208M00000X
Hospitalist Physician
Primary
34007200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2641967
—
OH
01
—
H057900
H057900
OH
Enumeration date
12/15/2005
Last updated
09/05/2013
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