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Individual

DR. KERMIT DAVID HUEBNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-0770
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PAT, OH 45433-5529
(937) 257-0770

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01053936A
IN
207P00000X
Emergency Medicine Physician
Primary
120893
OH
207P00000X
Emergency Medicine Physician
23785
WV
207P00000X
Emergency Medicine Physician
MD447669
PA
207P00000X
Emergency Medicine Physician
N0110
TX

Other

Enumeration date
10/11/2006
Last updated
01/16/2020
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