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Individual

DR. GARY D KRESGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
611 FULTON ST G, PORT CLINTON, OH 43452-2008
(419) 732-8837
(419) 734-6658
Mailing address
611 FULTON ST G, PORT CLINTON, OH 43452-2008
(419) 732-8837
(419) 734-6658

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34-004197
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0655554
OH
01
200041541
MEDICARE RAILROAD
OH
Enumeration date
06/23/2006
Last updated
11/13/2015
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