| W D Henceroth Do Inc | |
|
3774 Broadway Grove City OH 43123-2235 | |
| (614) 875-6349 | |
| (614) 875-3633 |
| Full Name | W D Henceroth Do Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3774 Broadway, Grove City, Ohio |
| Authorized Official Name and Position | Nancy A Henceroth Gatto (PRESIDENT) |
| Authorized Official Contact | 6148756349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W D Henceroth Do Inc 3774 Broadway Grove City OH 43123-2235 Ph: (614) 875-6349 | W D Henceroth Do Inc 3774 Broadway Grove City OH 43123-2235 Ph: (614) 875-6349 |
| NPI Number | 1295700730 |
|---|---|
| Provider Enumeration Date | 02/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295700730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 402712 (Ohio) | Primary |
Phillip B. Doudna, D.c., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4305 Broadway, Grove City, OH 43123 Phone: 614-875-1121 Fax: 614-875-1111 | |
Grove City Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3055 Columbus St, Grove City, OH 43123 Phone: 614-875-9900 | |
Advanced Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 Broadway, Grove City, OH 43123 Phone: 614-875-0079 Fax: 614-875-2008 |