Individual
JOHN WATHAN GULLETT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
563 WESSEL DR, FAIRFIELD, OH 45014-3668
(513) 858-6500
(513) 858-2777
Mailing address
5535 FAIR LN, SUITE C, CINCINNATI, OH 45227-3434
(513) 221-5274
(513) 961-5100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
097924
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097924
OHIO LECENSE NUMBER
OH
Enumeration date
07/08/2008
Last updated
12/31/2013
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