Provider Demographics
NPI:1912245176
Name:TROENDLE, AUGUST J (MD)
Entity type:Individual
Prefix:DR
First Name:AUGUST
Middle Name:J
Last Name:TROENDLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5375 MEDPACE WAY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-1543
Mailing Address - Country:US
Mailing Address - Phone:513-579-9911
Mailing Address - Fax:513-366-3232
Practice Address - Street 1:5375 MEDPACE WAY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-1543
Practice Address - Country:US
Practice Address - Phone:513-579-9911
Practice Address - Fax:513-366-3232
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.064521208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice