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Organization

MARGUERITE M BLYTHE

Active
Other names
Practical Psychiatry
Organization subpart
No

Provider details

NPI number
Authorized official
MARGUERITE MARYANNA BLYTHE MD (MD OWNER)
(513) 421-2900
Entity
Organization

Contact information

Practice address
4903 VINE ST, CINCINNATI, OH 45217-1252
(513) 421-2900
(513) 345-3045
Mailing address
4903 VINE ST, CINCINNATI, OH 45217-1252
(513) 421-2900
(513) 345-3045

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
35052570
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0671161
OH
Enumeration date
01/09/2006
Last updated
05/04/2011
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