Individual
JEREMY RIEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
715 RICHLAND MALL STE 407, ONTARIO, OH 44906-3802
(567) 307-7595
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(567) 307-7595
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
34.011859
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075276
—
OH
Enumeration date
03/04/2010
Last updated
01/25/2021
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