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Individual

JOHN TERPSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
332 CONGRESS PARK DR, DAYTON, OH 45459-4133
(800) 726-3627
(937) 312-3759
Mailing address
116 E MONROE ST, NEW BREMEN, OH 45869-1103
(419) 977-2159

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-007889
OH
207Q00000X
Family Medicine Physician
34-007889
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2365104
OH
Enumeration date
08/17/2006
Last updated
05/16/2023
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