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Individual

BERNARD K. OPPONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
844 MINERVA AVE, COLUMBUS, OH 43229-5045
(614) 844-6648
Mailing address
PO BOX 76621, CLEVELAND, OH 44101-6500
(727) 287-6300

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
340054010
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000319616
BCBS GREENFIELD
OH
05
0886993
OH
Enumeration date
09/16/2005
Last updated
11/04/2008
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