Individual
DR. JOAN M OCKULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 BAY PARK DR, OREGON, OH 43616-4920
(419) 866-1804
Mailing address
PO BOX 633390, CINCINNATI, OH 45263-0034
(419) 866-1804
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35060497
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0869529
—
OH
Enumeration date
05/17/2006
Last updated
07/08/2007
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