Organization
BEECHWOLD CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKOLAI VASILKOV (CEO)
(614) 262-1308
Entity
Organization
Contact information
Practice address
4191 N HIGH ST, COLUMBUS, OH 43214-3011
(614) 262-1308
Mailing address
4191 N HIGH ST, COLUMBUS, OH 43214-3011
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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