Organization
WM S ROTHERMEL JR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SHANNON ROTHERMEL JR. M.D. (PRESIDENT)
(614) 451-3388
Entity
Organization
Contact information
Practice address
4885 OLENTANGY RIVER RD, SUITE 230, COLUMBUS, OH 43214
(614) 451-3388
(614) 451-1048
Mailing address
4885 OLENTANGY RIVER RD, SUITE 230, COLUMBUS, OH 43214
(614) 451-3388
(614) 451-1048
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35036348R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371431
—
OH
Enumeration date
11/21/2006
Last updated
06/17/2008
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