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Individual

DR. WILLIAM MICHAEL GAYNIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2399
(513) 584-5461
(513) 584-0828
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5505
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34003464
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000010974
ANTHEM
OH
05
0550014
OH
01
08-20031
UHC
OH
01
1035060001
MDR DMERC
OH
01
170000021
RR MDR
OH
01
2909326-001
CIGNA
OH
01
31-1102777-00
WORKERS COMP
OH
01
4243155
AETNA
OH
Enumeration date
08/30/2006
Last updated
11/20/2017
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