Individual
BRETT P SIEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 KENNY RD, COLUMBUS, OH 43210-3100
(614) 293-8487
(614) 293-8153
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8487
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
164
WI
367H00000X
Anesthesiologist Assistant
Primary
67.000422
OH
367H00000X
Anesthesiologist Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102500
—
WI
Enumeration date
04/15/2020
Last updated
08/06/2024
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