Individual
DR. JANE ELLERY BROECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 HOSPITAL DR, SUITE 260, ATHENS, OH 45701-2857
(740) 594-8819
(740) 594-4090
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
(614) 544-6155
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.076838
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2301833
—
OH
Enumeration date
09/25/2006
Last updated
01/25/2022
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