Individual
DR. CHRISTIAN DERENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5300 N MEADOWS DR, GROVE CITY, OH 43123-2546
(614) 663-4550
Mailing address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 584-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
58.032202
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2021
Last updated
04/05/2024
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