Organization · Type 2 NPI

Greene Memorial Hospital Services, LLC

Plastic Surgery Physician · Beavercreek, OH

NPI number 1689941403 Active

Practice location

3359 Kemp Rd, Suite 200
Beavercreek, OH 45431-2565

Call (937) 429-7307 Map

Fax (937) 429-7320

Mailing address

2110 Leiter Rd
Miamisburg, OH 45342-3660

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician Primary	208200000X	None listed

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

12 other providers at this address

NPI record

NPI: 1689941403
Entity type: Organization (Type 2)
Issued: Nov 22, 2011
Last updated: Nov 22, 2011
Status: Active
Subpart: Yes of Greene Memorial Hospital Services, LLC

Other names

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David J Ettinger, MD · doing business as

Authorized official

Daniel D Haibach
Director Business Development
(937) 558-3222

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689941403

Greene Memorial Hospital Services, LLC's National Provider Identifier is 1689941403, issued on Nov 22, 2011. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Beavercreek, OH. The record was last updated on Nov 22, 2011.