Individual
BRYAN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
750 W HIGH ST STE 300, LIMA, OH 45801-2967
(419) 229-6781
(614) 386-9506
Mailing address
750 W HIGH ST STE 300, LIMA, OH 45801-2967
(419) 229-6781
(614) 386-9506
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34.013501
OH
207N00000X
Dermatology Physician
5101021720
MI
207ND0101X
MOHS-Micrographic Surgery Physician
34.013501
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34.013501
OH LICENSE
OH
01
—
5101021720
MI LICENSE
MI
Enumeration date
02/24/2014
Last updated
02/04/2026
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