Healthcare Provider Details

I. General information

NPI: 1457568057
Provider Name (Legal Business Name): PAUL THOMAS DROESSLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 01/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 E HOLLISTER ST
CINCINNATI OH
45219-1704
US

IV. Provider business mailing address

58 E HOLLISTER ST
CINCINNATI OH
45219-1704
US

V. Phone/Fax

Practice location:
  • Phone: 513-721-1737
  • Fax: 513-287-7465
Mailing address:
  • Phone: 513-721-1737
  • Fax: 513-287-7465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35.090182
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: