Individual
MS. DIANNE RUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4030 SMITH RD STE 300, CINCINNATI, OH 45209-1974
(513) 751-2273
(513) 751-1848
Mailing address
5053 WOOSTER RD, CINCINNATI, OH 45226-2326
(513) 751-2273
(513) 751-1848
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.068678
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000065772
BLUE CROSS BLUE SHIELD
OH
01
—
1701341
UNITED HEALTH CARE
—
05
—
2127111
—
OH
05
—
64045974
—
KY
Enumeration date
11/20/2006
Last updated
02/18/2025
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