Individual
IRINA A. GENDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
998 S DORSET RD, 204, TROY, OH 45373-4753
(937) 339-9865
(937) 440-7243
Mailing address
998 S DORSET RD, 204, TROY, OH 45373-4753
(937) 339-9865
(937) 440-7243
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35089633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2734296
—
OH
Enumeration date
05/02/2007
Last updated
04/23/2015
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