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Individual

BRIAN NEININGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 523-1000
Mailing address
3136 KINGSDALE CENTER PO BOX 233, COLUMBUS, OH 43221-2000
(614) 940-4315

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11520
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100047155
PHP TENNCARE
TN
05
3634051
TN
01
4103571
BLUE CROSS
TN
01
P00232804
TRAVELERS MEDICARE
TN
Enumeration date
04/10/2006
Last updated
02/04/2025
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