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Individual

DR. GRETCHEN ANN JESICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4000 JOHNSON RD, ANESTHESIA DEPT, STEUBENVILLE, OH 43952-2300
(740) 264-9610
(740) 266-7004
Mailing address
127 BITTERSWEET CIR, VENETIA, PA 15367-1041
(724) 260-0039

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-079663
OH
207L00000X
Anesthesiology Physician
MD422455
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2268335
OH
05
3002753000
WV
Enumeration date
01/06/2006
Last updated
11/17/2022
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