Individual
BRENTON SEMPLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2469 STELZER RD., COLUMBUS, OH 43219
(614) 416-6200
Mailing address
152 WILBER AVE, COLUMBUS, OH 43215-1444
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
07/23/2015
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