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Individual

JOHN M GROSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3525 OLENTANGY RIVER RD, STE 5360, COLUMBUS, OH 43214-3937
(614) 340-7747
(614) 340-7742
Mailing address
100 E CAMPUS VIEW BLVD, STE 160, COLUMBUS, OH 43235-4647
(614) 396-4750
(614) 396-4742

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35067865
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0122264000
WV
05
2013029
OH
01
300075314
MEDICARE RAILROAD
Enumeration date
06/28/2006
Last updated
04/01/2013
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