Individual
DR. GREGORY LUKE SEIDENSTICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 461-3232
Mailing address
1161 BETHEL RD, COLUMBUS, OH 43220-2773
(614) 459-0350
(614) 459-0355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35-08-3715-S
OH
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
35.083715
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2478653
—
OH
Enumeration date
07/07/2006
Last updated
07/20/2021
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