Individual
RONALD SUPRENANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 MIAMISBURG-CENTERVILLE ROAD, SUITE 450, MIAMISBURG, OH 45342
(513) 429-8974
(937) 439-3786
Mailing address
4000 MIAMISBURG-CENTERVILLE ROAD, SUITE 450, MIAMISBURG, OH 45342
(513) 429-8974
(937) 439-3786
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.075586
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
35.075586
OH
Other
Enumeration date
06/20/2011
Last updated
04/25/2013
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