Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 35124211 | OH |
NPI | 1023320389 |
---|---|
Provider Name | Dr. Joshua A Grosshandler |
First Address | Westerville, OH 43081-2874 |
Second Address | Westerville, OH 43081-2874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2010 |
Last Update Date | 06/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
35124211 | STATE LICENSE (01) | OH |