Healthcare Provider Details

I. General information

NPI: 1942298476
Provider Name (Legal Business Name): RALPH G ROHNER JR MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 OLENTANGY RIVER RD STE C 1
COLUMBUS OH
43214-3437
US

IV. Provider business mailing address

3600 OLENTANGY RIVER RD STE C 1
COLUMBUS OH
43214-3437
US

V. Phone/Fax

Practice location:
  • Phone: 614-457-4422
  • Fax: 614-451-7093
Mailing address:
  • Phone: 614-457-4422
  • Fax: 614-451-7093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35-02-7506
License Number StateOH

VIII. Authorized Official

Name: RALPH G ROHNER JR.
Title or Position: MD
Credential: MD
Phone: 614-457-4422