Individual
MIGUEL M GAETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6010
(937) 395-8162
Mailing address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6010
(937) 395-8162
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
14547
NH
208600000X
Surgery Physician
241909
MA
208600000X
Surgery Physician
MD037557
DC
2086S0102X
Surgical Critical Care Physician
Primary
35.128427
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166016
—
OH
Enumeration date
05/20/2008
Last updated
01/14/2021
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