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Individual

ALEXANDRA V QUELLHORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
300 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 293-9059
(614) 293-0201
Mailing address
4940 EASTERN AVENUE, A BLDG, 5TH FLOOR, BALTIMORE, MD 21224-2735
(410) 550-0400
(410) 550-2011

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.005185RX
OH
363A00000X
Physician Assistant
Primary
C07203
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0247504
OH
Enumeration date
01/28/2015
Last updated
07/01/2020
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