NPI 1205909561

Grantriverside Medical Care Foundation, INC

Organisation Urology Physician Columbus, OH

Practice location

Address: 3545 Olentangy River Rd STE 501, Columbus, OH 43214-3907
Phone: (614) 566-2714
Fax: (614) 566-2712
Mailing address: 5350 Frantz Rd, Dublin, OH 43016-4259

Authorised official

Name: Mark Wuestewald
Title: Director
Phone: (614) 566-5643

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Ohio →

Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207VG0400X

Other Obstetrics & Gynecology providers in Ohio →

Registry record

NPI: 1205909561
Entity type: Organization
NPI issued: 16 Nov 2006
Record last updated: 23 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.