Individual
JOHN P STUDEBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
832 CENTRAL AVE, GREENVILLE, OH 45331-1206
(937) 548-6615
(937) 548-0341
Mailing address
832 CENTRAL AVE, GREENVILLE, OH 45331-1206
(937) 548-6615
(937) 548-0341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4-0404
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0669138
—
OH
Enumeration date
10/26/2006
Last updated
07/08/2007
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