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Individual

GRANT K VARIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
205 E PALMER RD, BELLEFONTAINE, OH 43311-2281
(937) 592-4015
Mailing address
110 DOWELL AVE, BELLEFONTAINE, OH 43311-2305

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35033752
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000026809
ANTHEM
05
0207583
OH
01
341407259
CIGNA
01
341407259037
MEDICAL MUTUAL
01
7755544
AETNA
01
87726
UHC
01
VA7169531
TRICARE
Enumeration date
06/21/2006
Last updated
02/18/2013
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