Individual
GRANT RICHARD WETHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8675 BETHANY LN, CINCINNATI, OH 45255-2623
(513) 748-8626
Mailing address
8675 BETHANY LN, CINCINNATI, OH 45255-2623
(513) 748-8626
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50.008484RX
OH
Other
Enumeration date
12/05/2022
Last updated
11/16/2023
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