MARSHAL LEWIS THAXTER

MILFORD, OH
NPI1053787986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: OH  APRN.CNP.17528)
Enumeration Date2015-08-14
Last Update Date2018-07-02
Business Address
MARSHAL LEWIS THAXTER NP-C
824 MAIN ST
MILFORD, OH 45150
Phone number: 513-774-5606
Mailing Address
MARSHAL LEWIS THAXTER NP-C
446 MORGAN ST
CINCINNATI, OH 45206-2348
Phone number: 513-834-7063