Individual
D MARK OELRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7665 MONARCH COURT, STE 107, WEST CHESTER, OH 45069
(513) 779-1800
(513) 779-1901
Mailing address
7665 MONARCH COURT, STE 107, WEST CHESTER, OH 45069
(513) 779-1800
(513) 779-1901
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OH35046715
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029307
ANTHEM
—
05
—
0640613
—
OH
Enumeration date
08/03/2006
Last updated
07/13/2007
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