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Individual

GARY MITCHELL MECKLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
174 GRISWOLD ST, DELAWARE, OH 43015-1743
(740) 369-1948
Mailing address
174 GRISWOLD ST, DELAWARE, OH 43015-1743
(740) 369-1948

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.045688
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0449143
OH
Enumeration date
06/05/2006
Last updated
08/05/2014
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