Individual
ANDREW C GANTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 COTTONWOOD DR, LOVELAND, OH 45140-7601
(513) 683-5700
(513) 683-5701
Mailing address
1200 COTTONWOOD DR, LOVELAND, OH 45140-7601
(513) 683-5700
(513) 683-5701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.012600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138779
—
OH
Enumeration date
04/14/2015
Last updated
04/10/2024
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