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NPI Code Detail

MEDICARE: DR. WENDY ANN CHAMBERLAIN M.D.

MEDICARE: DR. WENDY ANN CHAMBERLAIN 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician35.093119OH
22083A0300XAddiction Medicine (Preventive Medicine) Physician35.093119OH

General Provider Information

NPI Number : 1629236997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WENDY ANN CHAMBERLAIN M.D.
Provider Business Mailing Address
First Line : 615 ELSINORE PL STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1457
Country : US
Telephone Number : 513-834-7063
Fax Number :
Provider Business Practice Location Address
First Line : 5850 RIDGE RD
Second Line :
City : PARMA
State : OH
Zip : 44129-3169
Country : US
Telephone Number : 513-834-7063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2008
Last Update Date : 11/01/2021

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