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Individual

GREGORY M WHISMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
28 HIDDEN RAVINES DRIVE, POWELL, OH 43065-8736
(740) 549-7450
(740) 549-7454
Mailing address
L-3401, COLUMBUS, OH 43260-3401
(740) 615-1324
(740) 615-1344

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.089537
OH
207Q00000X
Family Medicine Physician
35089537
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2781164
OH
Enumeration date
09/13/2007
Last updated
11/28/2012
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