Organization
MIDWEST ALLERGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON FRECHEN (ADM. ASST.)
(614) 846-5944
Entity
Organization
Contact information
Practice address
8080 RAVINES EDGE CT, COLUMBUS, OH 43235-5424
(614) 846-5944
(614) 846-6504
Mailing address
8080 RAVINES EDGE CT, COLUMBUS, OH 43235-5424
(614) 846-5944
(614) 846-6504
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064258
—
OH
01
—
CF1390
RAILROAD MEDICARE
OH
Enumeration date
01/30/2006
Last updated
03/12/2020
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