Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 35045930S | OH |
NPI | 1215926399 |
---|---|
Provider Name | Grant E Schmidt |
First Address | Columbus, OH 43214-2300 |
Second Address | Columbus, OH 43214-2300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0473223 | (05) | OH |