Individual
MARISSA GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
395 W 12TH AVE, COLUMBUS, OH 43210-1267
(609) 578-7122
Mailing address
459 REYNOLDS AVE APT 202, COLUMBUS, OH 43201-4392
(609) 578-7122
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
57.249330
OH
Other
Enumeration date
05/13/2020
Last updated
06/29/2020
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