Organization
HIS GRACE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUGBENGA F TOLANI M.D (INTERNIST)
(614) 315-1835
Entity
Organization
Contact information
Practice address
5925 CLEVELAND AVE, COLUMBUS, OH 43231-2202
(614) 586-4010
Mailing address
5925 CLEVELAND AVE, COLUMBUS, OH 43231-2202
(614) 586-4010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
14996
OH
Other
Enumeration date
08/13/2013
Last updated
08/14/2013
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