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Individual

ELLEN KOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
RIVERSIDE METHODIST HOSPITAL, 3535 OLENTANGY RIVER ROAD, COLUMBUS, OH 43214
(614) 566-5426
Mailing address
2449 QUARRY LAKE DR, COLUMBUS, OH 43204-4947

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/12/2010
Last updated
07/12/2010
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