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NPI Code Detail

MEDICARE: RAYMOND J METZGER M.D.

MEDICARE: RAYMOND J METZGER 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
1207R00000XInternal Medicine Physician35077064MOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00901844OTHEROHRR MEDICARE PIN

Other Identifiers

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

General Provider Information

NPI Number : 1972505386
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND J METZGER M.D.
Provider Business Mailing Address
First Line : 425 FARRELL CT
Second Line :
City : CINCINNATI
State : OH
Zip : 45233-1677
Country : US
Telephone Number : 513-451-6871
Fax Number : 513-451-6876
Provider Business Practice Location Address
First Line : 425 FARRELL CT
Second Line :
City : CINCINNATI
State : OH
Zip : 45233-1677
Country : US
Telephone Number : 513-451-6871
Fax Number : 513-451-6876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 04/18/2011

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Directions to “ RAYMOND J METZGER M.D.” Practice Location

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