Individual
MR. WAYNE R GAMBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1738 BERDAN AVE, TOLEDO, OH 43613-4610
(419) 870-1189
Mailing address
1738 BERDAN AVE, TOLEDO, OH 43613-4610
(419) 870-1189
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN.533016
OH
164W00000X
Licensed Practical Nurse
LPN.171613.MED-IV
OH
Other
Enumeration date
01/16/2022
Last updated
10/01/2025
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