# DR. MICHAEL PETER GIBSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821055732
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35-071851 | OH | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 37404 | KY | — |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 02/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200896520 | — | IN |
| 05 | — | 2338607 | — | OH |
| 05 | — | 64053648 | — | KY |
