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NPI Code Detail

MEDICARE: SREYROTH NOPSARIN WEANER

MEDICARE: SREYROTH NOPSARIN WEANER
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
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1922952225
Entity Type Code : Individual
Provider Name (Legal Business Name) : SREYROTH NOPSARIN WEANER
Provider Business Mailing Address
First Line : 77 E WOODBURY DR STE 110
Second Line :
City : DAYTON
State : OH
Zip : 45415-2853
Country : US
Telephone Number : 937-266-4355
Fax Number :
Provider Business Practice Location Address
First Line : 77 E WOODBURY DR STE 110
Second Line :
City : DAYTON
State : OH
Zip : 45415-2853
Country : US
Telephone Number : 937-266-4355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ SREYROTH NOPSARIN WEANER ” Practice Location

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