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Individual

DR. DAVID A GUMUCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
19800 DETROIT RD, ROCKY RIVER, OH 44116-1816
(440) 333-1107
(440) 333-1064
Mailing address
26908 DETROIT RD, SUITE 200, WESTLAKE, OH 44145-2398
(440) 250-8660
(440) 250-8639

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34010802
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0105599
OH
Enumeration date
06/25/2011
Last updated
11/06/2020
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