Individual
CHRISTINE RENEE GAYNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
582 N CABLE RD, LIMA, OH 45805-2133
(419) 996-2500
(419) 996-2509
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
(419) 996-2650
(419) 996-5165
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35083566
OH
207V00000X
Obstetrics & Gynecology Physician
35083566
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337143
ANTHEM PROVIDER #
OH
01
—
1134112469
GROUP NPI# PRIMARY OFFICE
—
01
—
1669550182
GROUP NPI# SATELLITE OFFI
—
05
—
2468262
—
OH
01
—
P00161875
TRAVELERS/MEDICARE #
OH
Enumeration date
09/13/2005
Last updated
01/02/2015
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