Individual
WARREN KURT REISS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(515) 557-0392
Mailing address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02004116
IN
207P00000X
Emergency Medicine Physician
34-010132
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2009
Last updated
12/18/2018
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