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NPI Code Detail

MEDICARE: CAMERON REINISCH MEDICAL STUDENT

MEDICARE:   CAMERON  REINISCH  MEDICAL STUDENT
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1437918968
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMERON REINISCH MEDICAL STUDENT
Provider Business Mailing Address
First Line : 3813 ELSMERE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-3819
Country : US
Telephone Number : 314-541-3466
Fax Number :
Provider Business Practice Location Address
First Line : 3813 ELSMERE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-3819
Country : US
Telephone Number : 314-541-3466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 03/18/2024

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Directions to “ CAMERON REINISCH MEDICAL STUDENT” Practice Location

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