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NPI Code Detail

MEDICARE: MR. DANIEL WALTER GEMBUS M.D.

MEDICARE: MR. DANIEL WALTER GEMBUS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician35.058947OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255301941
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL WALTER GEMBUS M.D.
Provider Business Mailing Address
First Line : 2215 E WATERLOO RD
Second Line : STE 313
City : AKRON
State : OH
Zip : 44312-3856
Country : US
Telephone Number : 330-208-2720
Fax Number : 330-208-2720
Provider Business Practice Location Address
First Line : 195 WADSWORTH RD
Second Line :
City : WADSWORTH
State : OH
Zip : 44281-9504
Country : US
Telephone Number : 330-334-1504
Fax Number : 330-334-2918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 03/31/2017

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