Organization
ADENA HEALTH SYSTEM
Active
Other names
Great Seal Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M ROSENBERGER (CFO)
(740) 779-7582
Entity
Organization
Contact information
Practice address
4437 STATE ROUTE 159, SUITE G45, CHILLICOTHE, OH 45601
(740) 779-7460
(740) 779-7463
Mailing address
272 HOSPITAL RD, SUITE 3, CHILLICOTHE, OH 45601-9031
(740) 779-4460
(740) 779-4257
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475685
—
OH
Enumeration date
05/11/2007
Last updated
06/04/2014
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