Individual
DR. DOMINIK S. GREDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 SUMMITT DR, MIDDLETOWN, OH 45042-3464
(513) 420-4678
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35.142982
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0458158
—
OH
Enumeration date
04/04/2016
Last updated
03/23/2022
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