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Individual

CHARLES HART ENZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5599 KUGLER MILL RD, CINCINNATI, OH 45236-2035
(513) 281-0074
Mailing address
5599 KUGLER MILL RD, CINCINNATI, OH 45236-2035
(513) 281-0074

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32028
OH
2084P0804X
Child & Adolescent Psychiatry Physician
32028
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0184214
OH
Enumeration date
02/21/2007
Last updated
05/28/2009
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