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NPI Code Detail

MEDICARE: DONTRE DREXELIUS

MEDICARE: DONTRE DREXELIUS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1154258986
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONTRE DREXELIUS
Provider Business Mailing Address
First Line : 4540 COOPER RD STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-5649
Country : US
Telephone Number : 513-618-8300
Fax Number :
Provider Business Practice Location Address
First Line : 4540 COOPER RD STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-5649
Country : US
Telephone Number : 513-618-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ DONTRE DREXELIUS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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