Individual
DEREK J MENKEDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-3811
(937) 439-6186
(937) 439-6189
Mailing address
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-3811
(937) 439-6186
(937) 439-6189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.014272
OH
2084N0400X
Neurology Physician
Primary
34.014272
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400966
—
OH
Enumeration date
03/22/2016
Last updated
07/11/2024
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