Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35.125746 | OH |
Y | 207VX0201X | Gynecologic Oncologist | 35.125746 | OH |
NPI | 1174773287 |
---|---|
Provider Name | Dr. Michael Stephen Guy |
First Address | Kettering, OH 45429-1265 |
Second Address | Kettering, OH 45429-1265 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2008 |
Last Update Date | 19/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0138338 | (05) | OH |