Individual
DR. GWYN RENE LONDEREE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4900 GETTYSBURG RD, COLUMBUS, OH 43220-2520
(614) 442-0100
(614) 442-7753
Mailing address
1083 FIRTH AVE, WORTHINGTON, OH 43085-2913
(614) 442-0100
(614) 442-7753
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-06-9165L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197955
ANTHEM BC/BS
OH
Enumeration date
10/05/2005
Last updated
07/08/2007
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