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Individual

DEAN L COLWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-2061
(614) 544-1750
Mailing address
1299 OLENTANGY RIVER RD, #103, COLUMBUS, OH 43212-3135
(614) 566-4278
(614) 566-5424

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
34002029
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0311602
OH
Enumeration date
04/09/2007
Last updated
07/09/2007
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