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Individual

GREGORY L RUNSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6024 HOOVER RD., SUITE A, GROVE CITY, OH 43123-8133
(614) 875-8949
(614) 539-4610
Mailing address
6024 HOOVER RD., SUITE A, GROVE CITY, OH 43123-8133
(614) 875-8949
(614) 539-4610

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-060436
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0874871
OH
Enumeration date
06/06/2006
Last updated
07/13/2007
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