Healthcare Provider Details

I. General information

NPI: 1740328590
Provider Name (Legal Business Name): JULIE STERMER CANTRELL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 01/25/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3773 OLENTANGY RIVER RD
COLUMBUS OH
43214-3425
US

IV. Provider business mailing address

5450 FRANTZ RD SUITE 250
DUBLIN OH
43016-4134
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-5356
  • Fax: 614-566-3835
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35065561
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: