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NPI Code Detail

MEDICARE: DR. RANCE MICHAEL GAMBLIN DVM

MEDICARE: DR. RANCE MICHAEL GAMBLIN DVM
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
1174M00000XVeterinarian7334OH

General Provider Information

NPI Number : 1487038824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANCE MICHAEL GAMBLIN DVM
Provider Business Mailing Address
First Line : 1053 S CLEVELAND MASSILLON RD
Second Line :
City : COPLEY
State : OH
Zip : 44321-1659
Country : US
Telephone Number : 330-666-2976
Fax Number : 330-670-2375
Provider Business Practice Location Address
First Line : 1053 S CLEVELAND MASSILLON RD
Second Line :
City : COPLEY
State : OH
Zip : 44321-1659
Country : US
Telephone Number : 330-666-2976
Fax Number : 330-670-2375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2015
Last Update Date : 07/15/2015

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