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John Detherage, MD

NPI 1447833504 · on the registry since 2021 · sole proprietor

Practice

Address
10506 Montgomery Rd Ste 209
Montgomery, OH 45242
Phone
(513) 865-9040
Clinicians at this address
51

Additional practice sites

  • 7910 Beechmont Ave, Cincinnati, OH

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207P00000X
207PS0010X
207PS0010X
207P00000X
207PS0010X
Licence states on file
KY, IN, OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio