Individual
DENNIS M MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 MCKNIGHT DR, MIDDLETOWN, OH 45044-4838
(513) 424-2111
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35082435M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316957
BCBS
—
05
—
2440433
—
OH
Enumeration date
05/19/2006
Last updated
12/08/2008
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