Individual
GREGORY MARK GOTTSCHLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3525 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8839
(937) 395-9939
Mailing address
3525 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8839
(937) 395-8387
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02006208A
IN
207P00000X
Emergency Medicine Physician
Primary
34.014568
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480316
—
OH
Enumeration date
04/07/2017
Last updated
04/14/2025
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