Individual
JENNIFER L THIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10506 MONTGOMERY RD STE 504, CINCINNATI, OH 45242-4400
(513) 922-0009
(513) 931-2481
Mailing address
11595 N MERIDIAN ST STE 375, CARMEL, IN 46032-3950
(317) 575-7304
(317) 575-7333
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
35042512T
OH
207VG0400X
Gynecology Physician
Primary
35042512T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218740
—
OH
Enumeration date
08/23/2006
Last updated
08/19/2021
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