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NPI Code Detail

MEDICARE: DAVID W. HAUSWIRTH M.D. INC

MEDICARE: DAVID W. HAUSWIRTH M.D. INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology Physician35079319OH

General Provider Information

NPI Number : 1598108961
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID W. HAUSWIRTH M.D. INC
Provider Business Mailing Address
First Line : 5877 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2859
Country : US
Telephone Number : 614-891-0550
Fax Number : 614-891-0429
Provider Business Practice Location Address
First Line : 5877 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2859
Country : US
Telephone Number : 614-891-0550
Fax Number : 614-891-0429
Authorized Official
Title or Position : OWNER
Name : DAVID W HAUSWIRTH
Credential : M.D.
Telephone Number : 614-891-0550
Provider Enumeration Date : 04/16/2013
Last Update Date : 05/06/2014

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