Individual
DR. MAX ROBERT BERDICHEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL CENTER DR STE 375, MIDDLETOWN, OH 45005-5180
(513) 422-8274
(513) 217-5762
Mailing address
3170 KETTERING BLVD, BUILDING B, 3RD FLOOR, MORAINE, OH 45439
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.132180
OH
207X00000X
Orthopaedic Surgery Physician
MD60340423
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
MD60340423
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902136823
—
WA
Enumeration date
12/29/2009
Last updated
07/21/2022
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