Paul Russell Jennewine, MD
Internal Medicine in Middletown, OH. Individual provider (NPI-1).
NPI number1790765725
StatusActive
Last updated in NPPESNov 18, 2014
Details
- NPI
- 1790765725
- Entity type
- Individual (NPI-1)
- Name
- Paul Russell Jennewine
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2006
- Last updated
- Nov 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 35.072062 | OH | Yes |
Practice location
200 N Breiel BlvdMiddletown, OH 45042-3808
Phone 513-424-2535 · Fax 513-424-0363
Mailing address
200 N Breiel BlvdMiddletown, OH 45042-3808
Phone 513-424-2535 · Fax 513-424-0363
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