Individual
GARY E GRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Mailing address
3131 QUEEN CITY AVE, CINCINNATI, OH 45238-2316
(513) 979-2999
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
350461999
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479852
—
OH
05
—
100328640
—
IN
05
—
64962210
—
KY
Enumeration date
06/17/2005
Last updated
04/18/2016
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