Individual
LOTHAR MICHAEL GEBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 298-4331
Mailing address
3617 TAIT RD, DAYTON, OH 45439-2533
(937) 684-4857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.088965
OH
207R00000X
Internal Medicine Physician
Primary
M-13070
ID
208M00000X
Hospitalist Physician
M-13070
ID
208M00000X
Hospitalist Physician
ME98984
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023995600
—
FL
Enumeration date
02/09/2007
Last updated
07/20/2022
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