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Individual

MEREDITH RUTH CLOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
30 E APPLE ST STE 5254, DAYTON, OH 45409-2939
(937) 208-4200
Mailing address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35.143318
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0493668
OH
Enumeration date
04/14/2017
Last updated
08/18/2022
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