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JEFFREY DAVID SCHLAUDECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-9384
(513) 585-6634
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-087872
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201134080
IN
05
2689943
OH
05
7100232120
KY
Enumeration date
08/30/2006
Last updated
06/19/2017
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