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NPI Code Detail

MEDICARE: DR. NEAL DUNSIETH M.D.

MEDICARE: DR. NEAL DUNSIETH M.D.
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
12084F0202XForensic Psychiatry Physician35-06-9945-DOH
22084P0800XPsychiatry Physician35-06-9945-DOH

General Provider Information

NPI Number : 1245324961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEAL DUNSIETH M.D.
Provider Business Mailing Address
First Line : 6460 HARRISON AVE STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7958
Country : US
Telephone Number : 513-941-4999
Fax Number :
Provider Business Practice Location Address
First Line : 6460 HARRISON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7957
Country : US
Telephone Number : 513-941-4999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/21/2022

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