Individual
MICHAEL MORAN GILBERT BODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 293-8315
Mailing address
2011 WYANDOTTE RD, UPPER ARLINGTON, OH 43212-1037
(614) 940-4254
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
57.256601
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2023
Last updated
07/03/2025
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