Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 35-080377 | OH |
NPI | 1033189527 |
---|---|
Provider Name | Mr. Michael D Gaugler |
First Address | Painesville, OH 44077 |
Second Address | Painesville, OH 44077 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 16/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000223385 | ANTHEM (01) | OH |
040017645 | TRAVELERS RAILROAD MEDICA (01) | OH |
104633 | KAISER (01) | OH |
20091 | QUALCHOICE (01) | OH |
2299972 | (05) | OH |
H57775 | (02) | OH |