Individual
MR. JOHN GREGORY BOHLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 NORTHRIDGE RD, CIRCLEVILLE, OH 43113
(740) 474-3159
(740) 474-2110
Mailing address
PO BOX 578, CIRCLEVILLE, OH 43113
(740) 474-3159
(740) 474-2110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35046385B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509542
—
OH
Enumeration date
11/02/2005
Last updated
07/08/2007
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