Individual
JOHN R GWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5180 E MAIN ST, SUITE F, COLUMBUS, OH 43213-2436
(614) 866-9002
(614) 866-3581
Mailing address
160 N TOWNSHIP RD, PATASKALA, OH 43062-9192
(740) 501-5577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5311-T2220
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2373828
—
OH
Enumeration date
10/17/2006
Last updated
01/30/2014
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