Individual
SAMUEL T. JERSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210
(614) 293-7499
(614) 366-2360
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
35.132780
OH
Other
Enumeration date
04/09/2015
Last updated
06/29/2021
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