Individual
MRS. ELLEN PLUMMER BUERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5141 MORNING SUN RD, OXFORD, OH 45056
(513) 523-2156
(513) 523-2503
Mailing address
5141 MORNING SUN RD, OXFORD, OH 45056
(513) 523-2156
(513) 523-2503
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01031865A
IN
208000000X
Pediatrics Physician
Primary
35030957
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010540
ANTHEM BCBS
IN
01
—
000000010540
ANTHEM BCBS
OH
05
—
0185571
—
OH
05
—
100349450
—
IN
Enumeration date
10/05/2006
Last updated
08/05/2010
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