Westerville Internal Medicine LLC

NPI #1649386194 in Westerville, Ohio

Provider Information

NPI Number
1649386194
Entity Type
Organization
Organization Name
Westerville Internal Medicine LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WESTERVILLE INTERNAL MEDICINE
Primary Specialty
Internal Medicine
Enumeration Date
Aug 21, 2006
Last Updated
Oct 5, 2007

Practice Location

Address
484 COUNTY LINE RD W
Address 2
SUITE 200
State
Ohio
ZIP Code
43082-7080
Phone
(614) 891-8080

Authorized Official

Name
GWEN DAVIS WILSON, RN
Title
OFFICE MANAGER
Phone
(614) 891-8080

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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