Individual
DR. GOITOM ANDOM ASGEDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MCKINLEY PARK DR, MARION, OH 43302-6399
(866) 727-4612
(630) 914-7048
Mailing address
425 QUADRANGLE DR, BOLINGBROOK, IL 60440-3412
(866) 727-4612
(630) 914-7048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.122607
OH
208M00000X
Hospitalist Physician
Primary
35.122607
OH
Other
Enumeration date
08/04/2010
Last updated
02/19/2014
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