Provider First Line Business Practice Location Address:
395 W 12TH AVENUE, RM 680
Provider Second Line Business Practice Location Address:
OSUWMC DEPT OF SURGERY
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-293-8000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/31/2017