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Individual

DR. CHARLES WILLIAM LONGWELL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5965 E BROAD ST, SUITE 260, COLUMBUS, OH 43213-1562
(614) 866-3703
(614) 866-6109
Mailing address
5965 E BROAD ST, SUITE 260, COLUMBUS, OH 43213-1562
(614) 866-3703
(614) 866-6109

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35.097007
OH

Other

Enumeration date
04/17/2007
Last updated
07/07/2011
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