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Individual

DR. WILLIAM G DANNEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-4000
(859) 301-4001
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-4000
(859) 301-4001

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
21239
KY
207RH0003X
Hematology & Oncology Physician
35040832
OH
207RX0202X
Medical Oncology Physician
Primary
21239
KY
207RX0202X
Medical Oncology Physician
35.040832
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0505288
OH
05
200070390
IN
05
64784036
KY
01
900003535
MEDICARE RAILROAD
OH
01
900003566
MEDICARE RAILROAD
KY
Enumeration date
08/26/2005
Last updated
10/01/2020
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