Organization
COLON AND RECTAL SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E WISE JR. M.D. (PRESIDENT)
(614) 263-2138
Entity
Organization
Contact information
Practice address
3545 OLENTANGY RIVER RD, SUITE 500, COLUMBUS, OH 43214-3907
(614) 263-2138
(614) 263-2138
Mailing address
3545 OLENTANGY RIVER RD, SUITE 500, COLUMBUS, OH 43214-3907
(614) 263-2138
(614) 263-2138
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
52105
OH
Other
Enumeration date
04/23/2010
Last updated
04/29/2010
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