Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 35075921 | OH |
Y | 2081P2900X | Pain Medicine | 35075921 | OH |
NPI | 1336228022 |
---|---|
Provider Name | Dr. Gregory Joseph Gerber |
First Address | Canton, OH 44708-0690 |
Second Address | Sandusky, OH 44870-5391 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 18/06/2015 |