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Individual

DR. MARIANNE B PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
463 OHIO PIKE, SUITE 306, CINCINNATI, OH 45255-3721
(513) 474-7778
(512) 474-2296
Mailing address
1773 SOLUTIONS CTR, CHICAGO, IL 60677-1007
(513) 557-3503

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01045888A
IN
207R00000X
Internal Medicine Physician
Primary
35071759
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2055538
OH
Enumeration date
11/01/2006
Last updated
01/04/2011
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