Healthcare Provider Details

I. General information

NPI: 1609810605
Provider Name (Legal Business Name): ROBERT JOSEPH FINK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS PLZ
DAYTON OH
45404-1898
US

IV. Provider business mailing address

1 CHILDRENS PLZ
DAYTON OH
45404-1898
US

V. Phone/Fax

Practice location:
  • Phone: 937-641-4029
  • Fax: 937-641-5390
Mailing address:
  • Phone: 937-641-4029
  • Fax: 937-641-5390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number41486
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: