Individual
ELAINE KNOLL GAGLIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 ALEXANDERSVILLE RD, AKA 5 S. ALEX RD, MIAMISBURG, OH 45342-3672
(937) 247-0304
(937) 247-0313
Mailing address
5 ALEXANDERSVILLE RD, AKA 5 S ALEX RD, MIAMISBURG, OH 45342-3672
(937) 247-0304
(937) 247-0313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35057393
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0804642
—
OH
Enumeration date
09/23/2005
Last updated
09/12/2018
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