Individual
DR. JEREMY THERON DRENCKHAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(763) 458-4931
Mailing address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(763) 458-4931
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00000
GA
2085R0202X
Diagnostic Radiology Physician
Primary
33776
NE
208D00000X
General Practice Physician
33776
NE
Other
Enumeration date
04/09/2020
Last updated
10/29/2025
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