Individual
JOHN M. DUCHAK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1126 S MAIN ST, DAYTON, OH 45409-2687
(937) 223-3053
(937) 463-1765
Mailing address
4000 MIAMISBURG CENTERVILLE RD STE 100, MIAMISBURG, OH 45342-7615
(937) 866-0637
(937) 866-6713
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35.064642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0952518
—
OH
01
—
110077875
RAILROAD MEDICARE
OH
Enumeration date
03/17/2006
Last updated
02/01/2021
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