Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35.134006 | OH |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD-46034 | IA |
NPI | 1518378488 |
---|---|
Provider Name | Erin Maetzold |
First Address | Cincinnati, OH 45242-4420 |
Second Address | Cincinnati, OH 45220-2475 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2014 |
Last Update Date | 09/04/2019 |