Healthcare Provider Details

I. General information

NPI: 1265411912
Provider Name (Legal Business Name): ENGLENDER SPER & DRASNIN, M.D.'S INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 MAIN ST
MILFORD OH
45150-5049
US

IV. Provider business mailing address

905 MAIN ST
MILFORD OH
45150-5049
US

V. Phone/Fax

Practice location:
  • Phone: 513-248-1210
  • Fax: 513-248-3065
Mailing address:
  • Phone: 513-248-1210
  • Fax: 513-248-3065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number039602
License Number StateOH

VIII. Authorized Official

Name: DR. DONALD P RAKEL
Title or Position: OFFICER
Credential: M.D.
Phone: 513-248-1210