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Individual

DR. ELLIOT MARC KIRSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
8211 CORNELL ROAD, SUITE 510, CINCINNATI, OH 45249-2235
(513) 530-0440
(513) 530-0473
Mailing address
8211 CORNELL RD, SUITE 510, CINCINNATI, OH 45249-2235
(513) 530-0440
(513) 530-0473

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
3248
OH
152W00000X
Optometrist
Primary
3248-T514
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0309768
OH
Enumeration date
10/05/2006
Last updated
03/09/2017
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