Individual
GRANT PAULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE, ML 7017, CINCINNATI, OH 45229-3026
(513) 636-4578
(513) 636-7039
Mailing address
3333 BURNET AVE, ML 7017, CINCINNATI, OH 45229-3026
(513) 636-4578
(513) 636-7039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009-00311
NC
207RI0200X
Infectious Disease Physician
35.124275
OH
208000000X
Pediatrics Physician
2009-00311
NC
208000000X
Pediatrics Physician
30187
AL
2080P0208X
Pediatric Infectious Diseases Physician
Primary
35.124275
OH
Other
Enumeration date
05/01/2007
Last updated
05/13/2015
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