Organization
GRANT ANESTHESIA SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WUESTEWALD (REV CYCLE DIRECTOR)
(614) 566-5107
Entity
Organization
Contact information
Practice address
111 S GRANT AVE, 3RD FL, COLUMBUS, OH 43215-4701
(614) 566-8808
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
(614) 544-6355
(614) 544-6350
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2503644
—
OH
05
—
2503704
—
OH
05
—
2503759
—
OH
05
—
2503919
—
OH
Enumeration date
10/14/2005
Last updated
09/24/2009
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