Individual
JEROME BRIAN HUEBSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1106 GARDNER RD, KETTERING, OH 45429-4524
(937) 867-2235
Mailing address
1106 GARDNER ROAD, KETTERING, OH 45429
(937) 867-2235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34.010888
OH
390200000X
Student in an Organized Health Care Education/Training Program
58.004204
OH
Other
Enumeration date
12/07/2011
Last updated
09/23/2013
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