Individual
DR. JERIKA ORTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2145 N FAIRFIELD RD, BEAVERCREEK, OH 45431-2580
(937) 702-4031
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.141663
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2018
Last updated
07/09/2021
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