Organization
ALLERGY AND ASTHMA CENTER OF THE TRI-STATE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MICHAEL M.D. (PRESIDENT)
(513) 791-6006
Entity
Organization
Contact information
Practice address
5757 GLENWAY AVE, CINCINNATI, OH 45238-2105
(513) 791-6006
(513) 791-3399
Mailing address
5757 GLENWAY AVE, CINCINNATI, OH 45238-2105
(513) 791-6006
(513) 791-3399
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35052345
OH
Other
Enumeration date
08/15/2006
Last updated
06/30/2011
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