Organization
DERMATOLOGY ASSOCIATES OF OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA HICKMANN MD (OWNER)
(937) 974-5247
Entity
Organization
Contact information
Practice address
8100 N MAIN ST, DAYTON, OH 45415-1702
(937) 974-5247
Mailing address
6136 OLD SPANISH TRL, DAYTON, OH 45459-1453
(937) 974-5247
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35060161
OH
Other
Enumeration date
12/15/2006
Last updated
02/10/2025
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