Individual
DR. JACOB MAXWELL GUNZENHAEUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4460 RED BANK EXPRESSWAY, CINCINNATI, OH 45227-2173
(513) 791-5200
(513) 791-5229
Mailing address
4460 RED BANK EXPRESSWAY, CINCINNATI, OH 45227-2173
(513) 791-5200
(513) 791-5229
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-128553
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2010
Last updated
06/27/2016
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