Individual
DR. GORDON A. BODZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 MENTOR AVE STE 200, MENTOR, OH 44060-8702
(440) 354-1899
(440) 354-1845
Mailing address
5105 SOM CENTER RD #107, MENTOR, OH 44060
(440) 953-5712
(440) 953-5713
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.121334
OH
208600000X
Surgery Physician
36446
AZ
208600000X
Surgery Physician
A88984
CA
Other
Enumeration date
03/02/2006
Last updated
03/18/2021
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