Provider Demographics
NPI:1396179073
Name:DRENCHKO, ROBERT (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:DRENCHKO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 MONROE STREET SUITE 202
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2279
Mailing Address - Country:US
Mailing Address - Phone:419-473-6622
Mailing Address - Fax:419-473-6627
Practice Address - Street 1:5700 MONROE STREET
Practice Address - Street 2:GRADUATE MEDICAL EDUCATION
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560
Practice Address - Country:US
Practice Address - Phone:419-473-6622
Practice Address - Fax:419-473-6627
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34012736207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology