Individual
DR. TIMOTHY J HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 HARRIS DR, OXFORD, OH 45056-3640
(513) 529-3000
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35074268
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200182010
—
IN
05
—
2072457
—
OH
05
—
64962202
—
KY
Enumeration date
06/14/2005
Last updated
01/26/2022
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