Individual
DANIEL GAUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
30 E APPLE ST STE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Mailing address
3170 KETTERING BLVD, BUILDING B 3RD FLOOR, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35087384
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2890215
—
OH
Enumeration date
07/22/2008
Last updated
10/27/2020
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