Individual
JEFFREY WILLIAM MAENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 W MCCREIGHT AVE STE 110, SPRINGFIELD, OH 45504-1890
(937) 717-4884
(937) 717-6207
Mailing address
100 W MCCREIGHT AVE STE 110, SPRINGFIELD, OH 45504-1890
(937) 717-4884
(937) 717-6207
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34.014029
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2014
Last updated
01/03/2022
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