Provider First Line Business Practice Location Address:
OSUWMC DEPARTMENT OF SURGERY
Provider Second Line Business Practice Location Address:
395 WEST 12TH AVENUE ROOM 680
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43210-1086
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:
614-293-4063
Provider Enumeration Date:
04/27/2017