Individual
ELISE HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 584-4505
(513) 584-0468
Mailing address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35 125690
OH
207R00000X
Internal Medicine Physician
57.020987
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35125690
OH
Other
Enumeration date
04/09/2012
Last updated
12/13/2019
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