Individual
GREGORY M GOTTSCHLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4260 GLENDALE MILFORD RD, SUITE 201, CINCINNATI, OH 45242-3763
(513) 769-2762
(513) 769-2769
Mailing address
4260 GLENDALE MILFORD RD STE 1007, BLUE ASH, OH 45242-3763
(513) 619-9229
(513) 386-7926
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-04-8567G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021081
ANTHEM BLUE CROSS BLUE
OH
01
—
311485449
CIGNA
OH
01
—
40011112
MEDICARE RAILROAD
OH
01
—
48567
HUMANA CHOICE CARE
OH
05
—
549482
—
OH
01
—
UNITED HEALTH CARE
311485449
OH
Enumeration date
06/02/2005
Last updated
03/11/2021
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