Individual
WILL GUIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-3435
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.133076
OH
208000000X
Pediatrics Physician
Primary
63612
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2015
Last updated
06/22/2021
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