Individual
ALYSSA JENNIFER GANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.097120
OH
2086S0102X
Surgical Critical Care Physician
35.097120
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111981
—
OH
Enumeration date
06/03/2009
Last updated
03/17/2018
Update your record
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