Individual
MR. JEFFREY LEE GRESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1030 REFUGEE RD STE 275, PICKERINGTON, OH 43147-0047
(614) 533-5500
(614) 533-0103
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.005146RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104891639
—
SC
Enumeration date
02/20/2006
Last updated
01/27/2022
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