Individual
STACY A BRETHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 366-6675
(614) 366-8166
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 366-6675
(614) 366-8166
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35086034
OH
Other
Enumeration date
01/22/2007
Last updated
02/28/2025
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