Individual
MR. HERBERT ALLEN GRODNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
158 WETHERBY LANE, WESTERVILLE, OH 43081
(614) 895-0566
(614) 895-7123
Mailing address
158 WETHERLY LANE, WESTERVILLE, OH 43081
(614) 895-0566
(614) 895-7123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35030113G
OH
207RP1001X
Pulmonary Disease Physician
Primary
35030113G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204755
—
OH
Enumeration date
08/15/2006
Last updated
02/18/2010
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