Organization
OSU INTERNAL MEDICINE, LLC
Active
Other names
Stoneridge Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN CLOUSE (MANAGER, PROVIDER ENROLLMENT)
(614) 685-4601
Entity
Organization
Contact information
Practice address
3900 STONERIDGE LN, DUBLIN, OH 43017-2009
(614) 889-5001
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 685-4601
(614) 366-3731
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0967799
—
OH
Enumeration date
11/07/2006
Last updated
05/19/2023
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