Provider Demographics
NPI:1962713974
Name:DUANE J. KERSCHER JR., D.O. D.B.A. SPRINGFIELD CLINIC L.L.C.
Entity type:Organization
Organization Name:DUANE J. KERSCHER JR., D.O. D.B.A. SPRINGFIELD CLINIC L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:KERSCHER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:419-867-8263
Mailing Address - Street 1:8133 AIRPORT HWY
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-9060
Mailing Address - Country:US
Mailing Address - Phone:419-867-8263
Mailing Address - Fax:
Practice Address - Street 1:8133 AIRPORT HWY
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-9060
Practice Address - Country:US
Practice Address - Phone:419-867-8263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty