Individual
ANDREW DEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3652 WERK RD, CINCINNATI, OH 45248-4900
(513) 233-4100
(513) 751-2267
Mailing address
PO BOX 632958, CINCINNATI, OH 45263-2958
(513) 451-9698
(513) 451-9412
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-035423
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0363940
—
OH
01
—
100010951
RAILROAD MEDICARE
OH
Enumeration date
06/10/2005
Last updated
09/06/2011
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