Provider Demographics
NPI:1003907585
Name:GINN, WILLIAM NORMAN (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:NORMAN
Last Name:GINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5289 KESSLER FREDERICK RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-9551
Mailing Address - Country:US
Mailing Address - Phone:937-698-6344
Mailing Address - Fax:937-698-6675
Practice Address - Street 1:751 S MIAMI ST
Practice Address - Street 2:
Practice Address - City:WEST MILTON
Practice Address - State:OH
Practice Address - Zip Code:45383-1303
Practice Address - Country:US
Practice Address - Phone:937-698-4158
Practice Address - Fax:937-698-6675
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-046499207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4023301Medicare ID - Type Unspecified
OHCO2273Medicare UPIN