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Individual

GREGORY WAYNE ROUAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 PIEDMONT AVE, STE 6000, CINCINNATI, OH 45219-4231
(513) 475-7880
(513) 475-7327
Mailing address
2830 VICTORY PKWY, STE 310, CINCINNATI, OH 45206-3700
(513) 245-3444
(513) 245-3449

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-046436
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0537146
OH
01
110111852
RAIL ROAD MEDICARE
OH
05
200070040
IN
05
4047838
TN
05
64773947
KY
Enumeration date
05/04/2006
Last updated
03/12/2013
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