Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 35048850 | OH |
NPI | 1013901735 |
---|---|
Provider Name | John Dean Adler |
First Address | Cincinnati, OH 45263-0001 |
Second Address | West Chester, OH 45069-2509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 14/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0662939 | (05) | OH |
A15477 | (02) |