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Organization
GWEN ROESEL MD LLC
Active
Organization
GWEN ROESEL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWEN C ROESEL MD (PRESIDENT)
(513) 271-2862
Entity
Organization
Contact information
Practice address
9435 WATERSTONE BLVD, SUITE 140, CINCINNATI, OH 45249-8226
(513) 271-2862
(513) 271-0619
Mailing address
9435 WATERSTONE BLVD, SUITE 140, CINCINNATI, OH 45249-8226
(513) 271-2862
(513) 271-0619
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35.090806
OH
Other
Enumeration date
09/19/2008
Last updated
01/10/2014
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