Individual
DR. CAROLYN S GBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 BRIGHAM DR STE 150, PERRYSBURG, OH 43551-7120
(419) 794-7700
(419) 794-7715
Mailing address
1601 BRIGHAM DR STE 150, PERRYSBURG, OH 43551-7120
(419) 794-7700
(419) 794-7715
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35059568G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000476153
ANTHEM
OH
01
—
01716
PARAMOUNT
OH
05
—
0671705
—
OH
01
—
4502161
AETNA
OH
05
—
4980009
—
MI
05
—
4980018
—
MI
05
—
4980027
—
MI
01
—
611448753028
CARESOURCE
OH
01
—
P00431214
RRMC
—
Enumeration date
06/01/2005
Last updated
08/11/2025
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