Individual
DR. JEFFREY CHARLES BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5300 N MEADOWS DR, GROVE CITY, OH 43123-2546
(614) 663-5000
Mailing address
1114 PINNACLE CLUB DR, GROVE CITY, OH 43123-8184
(917) 659-3653
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.013997
OH
390200000X
Student in an Organized Health Care Education/Training Program
00000000000000
OH
Other
Enumeration date
04/11/2017
Last updated
07/23/2021
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