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General NPI Number Information
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NPI Number | 1609895945
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Entity Type | Individual
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Provider Name | GARY WAYNE DINGER DO
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 254 CLEVELAND AVE STE 101
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City | AMHERST
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State | OH
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Zip | 44001-1620
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Country | US
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Telephone | 440-934-2650
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Fax | 440-934-2651
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Provider Business Mailing Address
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Address Line | 5334 MEADOW LANE COURT
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City | SHEFFIELD VILLAGE
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State | OH
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Zip | 44035-1469
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Country | US
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Telephone | 440-934-5454
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Fax | 440-934-8999
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34007100
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License Number State | OH
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