Basic Information
| Provider Information | |||||||||
| NPI: | 1336228022 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GERBER | ||||||||
| FirstName: | GREGORY | ||||||||
| MiddleName: | JOSEPH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 80690 | ||||||||
| Address2: | |||||||||
| City: | CANTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 447080690 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304795428 | ||||||||
| FaxNumber: | 3304795440 | ||||||||
| Practice Location | |||||||||
| Address1: | 2819 HAYES AVE | ||||||||
| Address2: | SUITE 7 | ||||||||
| City: | SANDUSKY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 448705391 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4196099107 | ||||||||
| FaxNumber: | 4196099109 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2006 | ||||||||
| LastUpdateDate: | 06/18/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2081P2900X | 35075921 | OH | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine | 208100000X | 35075921 | OH | N | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.