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Individual

JOSEPH M KREMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3525 OLENTANGY RIVER RD, SUITE 5310, COLUMBUS, OH 43214-3937
(614) 263-7002
(614) 267-6683
Mailing address
3525 OLENTANGY RIVER RD, SUITE 5310, COLUMBUS, OH 43214-3937
(614) 263-7002
(614) 267-6683

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003691
OH
363AS0400X
Surgical Physician Assistant
Primary
50.003691
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50.003691
PHYSICIAN ASSISTANT CERTIFICATE
OH
01
H163040
MEDICARE PTAN
OH
Enumeration date
08/14/2012
Last updated
01/25/2022
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