Individual
DR. STEPHEN WILLIAM RODERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5775 N MEADOWS DR STE D, GROVE CITY, OH 43123-7300
(614) 224-4200
(614) 224-4207
Mailing address
5775 N MEADOWS DR STE D, GROVE CITY, OH 43123-7300
(614) 224-4200
(614) 224-4207
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35.127897
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.127897
STATE LICENSE NUMBER
OH
Enumeration date
03/27/2014
Last updated
05/20/2020
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