Individual
MICHAEL A HERBENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 E APPLE ST, SUITE 2200, DAYTON, OH 45409-2939
(937) 208-2091
Mailing address
136S LUDLOW ST 1, DAYTON, OH 45402-1813
(937) 499-8273
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35082289
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2671078
—
OH
Enumeration date
07/06/2006
Last updated
03/31/2016
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