Individual
PADET WATTANASARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1070 CIRCLE ON THE GRN, COLUMBUS, OH 43235-1211
(614) 718-9041
Mailing address
1070 CIRCLE ON THE GRN, COLUMBUS, OH 43235-1211
(614) 718-9041
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35.034314
OH
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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