Individual
DENNIS WILENTZ MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2333
(513) 584-4061
(513) 584-2599
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3104
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-075569
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35-075569
OH
207RP1001X
Pulmonary Disease Physician
Primary
35-075569
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200240140
—
IN
05
—
2134925
—
OH
05
—
64963838
—
KY
01
—
P00075493
RAIL ROAD MEDICARE
OH
Enumeration date
04/27/2006
Last updated
08/22/2017
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