Individual
MICKEY E. DENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6611 CLYO RD, SUITE A, DAYTON, OH 45459-2786
(937) 208-7300
(937) 208-7330
Mailing address
6611 CLYO RD, SUITE A, DAYTON, OH 45459-2786
(937) 208-7300
(937) 208-7330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.057283
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0823943
—
OH
Enumeration date
06/06/2006
Last updated
10/20/2020
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