Organization
GEORGE M RUTAN DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN PENHORWOOD (OFFICE MANAGER)
(614) 529-7800
Entity
Organization
Contact information
Practice address
3663 RIDGE MILL DR, SUITE 104, HILLIARD, OH 43026-7799
(614) 529-7800
(513) 529-7802
Mailing address
3663 RIDGE MILL DR, SUITE 104, HILLIARD, OH 43026-7799
(614) 529-7800
(513) 529-7802
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001740
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2861541
—
OH
01
—
DD8097
RAILROAD GROUP NUMBER
OH
Enumeration date
07/17/2006
Last updated
03/12/2013
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