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Individual

DR. BRIAN K JOLITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
938 W MAIN ST, SUITE 2, HILLSBORO, OH 45133-7484
(937) 393-4390
(937) 393-4640
Mailing address
938 W MAIN ST, SUITE 2, HILLSBORO, OH 45133-7484
(937) 393-4390
(937) 393-4640

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34004061
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0623089
OH
01
P00665499
MEDICARE RR
OH
Enumeration date
08/17/2005
Last updated
08/24/2011
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