Individual
DR. CHRISTIAN ERIK GAUSVIK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2123 AUBURN AVE, SUITE 340, CINCINNATI, OH 45219
(513) 585-3238
Mailing address
3805 EDWARDS RD STE 350, CINCINNATI, OH 45209-1940
(513) 871-7848
(513) 871-3278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.135406
OH
207Q00000X
Family Medicine Physician
57.029297
OH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
35.135406
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444829
—
OH
Enumeration date
03/20/2017
Last updated
06/15/2021
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