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Individual

KATHRYN Z GATHOF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1044 COLUMBUS AVENUE, MARYSVILLE, OH 43040-8337
(937) 644-1441
(937) 642-7760
Mailing address
1044 COLUMBUS AVENUE, MARYSVILLE, OH 43040-8337
(937) 644-1441
(937) 642-7760

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.123059
OH
208000000X
Pediatrics Physician
35.123059
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0176021
OH
Enumeration date
03/24/2012
Last updated
12/12/2016
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