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Individual

TERRY M GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5308 HARROUN RD, STE 175, SYLVANIA, OH 43560-2114
(419) 824-5608
(419) 882-3686
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(419) 824-5608
(419) 882-3686

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34004072
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000141264
ANTHEM
OH
01
00255
PARAMOUNT
OH
05
0652486
OH
01
07-01571
UHC
OH
01
160041496
RRMC
OH
01
2083354
AETNA
OH
01
22549
HPM
OH
05
4206513
MI
01
603738
FHP
OH
Enumeration date
08/11/2005
Last updated
11/03/2023
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