Provider Demographics
NPI:1649336942
Name:BERNER, ROBIN S (MD, MPH, MS)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:S
Last Name:BERNER
Suffix:
Gender:F
Credentials:MD, MPH, MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4823 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-9507
Mailing Address - Country:US
Mailing Address - Phone:937-399-1079
Mailing Address - Fax:614-688-6493
Practice Address - Street 1:543 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1278
Practice Address - Country:US
Practice Address - Phone:614-688-6492
Practice Address - Fax:614-688-6493
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH350562632083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine