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Individual

MOLLY EMMERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12 W CHURCH ST, OXFORD, OH 45056-1257
(513) 523-4195
(513) 523-4353
Mailing address
12 W CHURCH ST, OXFORD, OH 45056-1257
(513) 523-4195
(513) 523-4353

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35076210E
OH
208000000X
Pediatrics Physician
35076210E
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2155724
OH
Enumeration date
07/28/2006
Last updated
03/17/2011
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