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Organization
CENTRAL OHIO WEIGHT LOSS CLINIC,LLC
Active
Organization
CENTRAL OHIO WEIGHT LOSS CLINIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L BISUTTI M.D. (OWNER)
(614) 218-6313
Entity
Organization
Contact information
Practice address
4041 N HIGH ST, COLUMBUS, OH 43214
(614) 927-9212
Mailing address
196 BRIGHTON RD, COLUMBUS, OH 43202-1022
(614) 218-6313
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
35.090054
OH
Other
Enumeration date
06/04/2018
Last updated
07/25/2018
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