Individual
BLAISE GATTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3033 KETTERING BLVD, SUITE 100, MORAINE, OH 45439-1962
(937) 293-2133
(937) 293-2161
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.008828
OH
Other
Enumeration date
04/29/2008
Last updated
12/12/2012
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