Individual
IGOR I GRECHUKHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8351 N HIGH ST STE 155, COLUMBUS, OH 43235-1409
(614) 664-3595
Mailing address
1789 GLOBE ST, COLUMBUS, OH 43212-1475
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0030739
OH
Other
Enumeration date
02/03/2020
Last updated
06/21/2022
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