Organization
MYLAUREL MEDICAL GROUP OH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANKO KOLVEK (CHIEF OPERATING OFFICER)
(347) 497-2452
Entity
Organization
Contact information
Practice address
1201 DUBLIN RD, COLUMBUS, OH 43215-1045
(886) 619-7803
Mailing address
885 3RD AVE FL 29, NEW YORK, NY 10022-4834
(866) 619-7803
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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