Provider Demographics
NPI:1386480358
Name:NEUERER, WOLFGANG R
Entity type:Individual
Prefix:MR
First Name:WOLFGANG
Middle Name:R
Last Name:NEUERER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 PAULA DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45327-9396
Mailing Address - Country:US
Mailing Address - Phone:937-304-7409
Mailing Address - Fax:
Practice Address - Street 1:123 PAULA DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:OH
Practice Address - Zip Code:45327-9396
Practice Address - Country:US
Practice Address - Phone:937-304-7409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker