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Individual

MR. MICHAEL D GAUGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7580 AUBURN ROAD, #103, PAINESVILLE, OH 44077
(440) 352-1474
(440) 352-2662
Mailing address
7580 AUBURN ROAD, #103, PAINESVILLE, OH 44077
(440) 352-1474
(440) 352-2662

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35-080377
OH
207Y00000X
Otolaryngology Physician
Primary
35-080377
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000223385
ANTHEM
OH
01
040017645
TRAVELERS RAILROAD MEDICA
OH
01
104633
KAISER
OH
01
20091
QUALCHOICE
OH
05
2299972
OH
Enumeration date
01/25/2006
Last updated
02/16/2010
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