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Individual

LEONARDO GUIRNALDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
(248) 324-1477

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35035875
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000389159
ANTHEM BCBS OF OHIO
OH
05
0228300
OH
01
P00300630
RR MEDICARE
OH
Enumeration date
10/18/2006
Last updated
01/17/2014
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