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Individual

MARTY M. MEYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6670 PERIMETER DR STE 200, DUBLIN, OH 43016
(614) 754-5500
(614) 754-5501
Mailing address
3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1523
(614) 754-5500
(614) 457-9519

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35087041
OH
207RG0100X
Gastroenterology Physician
Primary
35087041
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11902607
CAQH
05
2640619
OH
Enumeration date
06/12/2006
Last updated
11/07/2023
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