Individual
WILLIAM R PROTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 E APPLE ST, SUITE 5254, DAYTON, OH 45409
(937) 208-4200
(937) 208-4205
Mailing address
30 E APPLE ST, SUITE 5254, DAYTON, OH 45409
(937) 208-4200
(937) 208-4205
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35062539
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213793
BC/BS INDIVIDUAL PIN NO
OH
05
—
0913800
—
OH
01
—
30012319
RR MDCR PIN NUMBER
OH
Enumeration date
07/21/2005
Last updated
03/12/2013
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