MEDICARE: JOANNE DUCKRO DPM

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	213E00000X	Podiatrist	36002984	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	480025938	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1932102811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE DUCKRO DPM

Provider Business Mailing Address
First Line	:	479 E RAHN RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-5948
Country	:	US
Telephone Number	:	937-436-3444
Fax Number	:

Provider Business Practice Location Address
First Line	:	479 E RAHN RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-5948
Country	:	US
Telephone Number	:	937-436-3444
Fax Number	:

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	03/21/2016

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Directions to “ JOANNE DUCKRO DPM” Practice Location

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