Individual
DR. GRANT CHARLES GASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
960 S PROSPECT ST STE 3, MARION, OH 43302-6225
(740) 383-7910
(740) 375-8129
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34.015282
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
07/23/2024
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