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Individual

GREGORY M GOTTSCHLICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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