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NPI Code Detail

MEDICARE: DR. DENNIS FRANK BAMBACH MD

MEDICARE: DR. DENNIS FRANK BAMBACH MD
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
1207P00000XEmergency Medicine Physician35.048450OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053350769
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENNIS FRANK BAMBACH MD
Provider Business Mailing Address
First Line : 2939 KENNY RD
Second Line : SUITE 200
City : COLUMBUS
State : OH
Zip : 43221-2406
Country : US
Telephone Number : 614-442-2431
Fax Number : 614-442-2426
Provider Business Practice Location Address
First Line : 70 S CLEVELAND AVE
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-1397
Country : US
Telephone Number : 614-890-6555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 11/08/2019

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Directions to “ DR. DENNIS FRANK BAMBACH MD” Practice Location

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