Organization
MARY ELLEN BROADSTONE GAEKE, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN GAEKE MD (OWNER)
(513) 422-3119
Entity
Organization
Contact information
Practice address
82 N BREIEL BLVD, MIDDLETOWN, OH 45042-3804
(513) 422-3119
(513) 420-1848
Mailing address
82 N BREIEL BLVD, MIDDLETOWN, OH 45042-3804
(513) 422-3119
(513) 420-1848
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
04/02/2006
Last updated
08/22/2020
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