MEDICARE: DR. JEFFREY ROBERT WELSHHANS 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
1	208600000X	Surgery Physician	57012359	OH

General Provider Information

NPI Number	:	1851425938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY ROBERT WELSHHANS M.D.

Provider Business Mailing Address
First Line	:	2554 ERIE AVE
Second Line	:	APT 3
City	:	CINCINNATI
State	:	OH
Zip	:	45208-2016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4760 E GALBRAITH RD
Second Line	:	SUITE 108
City	:	CINCINNATI
State	:	OH
Zip	:	45236-6704
Country	:	US
Telephone Number	:	513-791-0707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	10/07/2011

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