Individual
BROOKE HERTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9000 N MAIN ST STE 101, ENGLEWOOD, OH 45415-1184
(419) 832-2425
Mailing address
10441 STREAM PARK CT, DAYTON, OH 45458-9569
(419) 905-5229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007214RX
OH
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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