Organization
GERIATRIC PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVINDER S MANN MD (OWNER)
(513) 432-8735
Entity
Organization
Contact information
Practice address
839 CHERRY ST, BLANCHESTER, OH 45107-1315
(513) 432-8735
Mailing address
9986 BOLINGBROKE DR, CINCINNATI, OH 45241-3677
(513) 432-8735
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
35D68907
OH
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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