Individual
DR. JOHN A SHRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2115 LEITER RD, MIAMISBURG, OH 45342-3659
(937) 384-6800
(937) 384-6939
Mailing address
2115 LEITER RD, MIAMISBURG, OH 45342-3659
(937) 384-6800
(937) 384-6939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35 046802
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0716256
—
OH
Enumeration date
11/07/2005
Last updated
04/06/2022
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