Individual
JERRY R MENDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 355-3574
(614) 722-3273
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 355-3574
(614) 722-3273
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35035346
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204899
—
OH
05
—
64079320
—
KY
Enumeration date
09/06/2005
Last updated
02/04/2016
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