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Individual

DONALD B ROLFES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 870-7000
Mailing address
PO BOX 632242, CINCINNATI, OH 45263-2242
(800) 503-6254

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35050278
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000018143
BCBS
OH
05
200225240A
IN
05
200225240C
IN
05
200225240D
IN
05
200225240E
IN
05
200225240F
IN
05
2114938
OH
01
220023917
RAILROAD MEDICARE
05
64962442
KY
Enumeration date
01/11/2006
Last updated
06/10/2010
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