Individual
MAMLE ANIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
721 MIAMI CHAPEL RD, DAYTON, OH 45417-4650
(937) 281-6800
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35371306
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016759
—
OH
Enumeration date
04/21/2006
Last updated
08/26/2022
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