Individual
DR. GARY A GREGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1426 NORTH STREET, NAPOLEON, OH 43545
(419) 599-5600
Mailing address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35060999G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024657
ANTHEM
OH
05
—
883996
—
OH
Enumeration date
11/07/2005
Last updated
09/03/2010
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