Dr NICHOLAS BENNER is a male medical professional, specializing in Dermatology. He graduated in 2010 from Ohio University Of Osteo Medicine.
DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC
3555 OLENTANGY RIVER RD
SUITE 4000
COLUMBUS
OH
432143915
Tel: 6142682748
| Npi | 1316268618 |
| Pac Id | 3375766900 |
| Professional Enrollment Id | I20140528001972 |
| Last Name | BENNER |
| First Name | NICHOLAS |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DERMATOLOGY |
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| Organization Legal Name | DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC |
| Group Practice Pac Id | 7113973041 |
| Number Of Group Practice Members | 53 |
| Line 1 Street Address | 3555 OLENTANGY RIVER RD |
| Line 2 Street Address | SUITE 4000 |
| Marker Of Address Line 2 Suppression | |
| City | COLUMBUS |
| State | OH |
| Zip Code | 432143915 |
| Phone Number | 6142682748 |
| Hospital Affiliation Ccn 1 | 360006 |
| Hospital Affiliation Lbn 1 | RIVERSIDE METHODIST HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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