Individual
DR. TIMOTHY ROBERT GATENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1865 TAMARACK RD, NEWARK, OH 43055-1350
(740) 348-4953
(740) 348-4951
Mailing address
1360 STRATFORD WOODS DR, NEWARK, OH 43055-7400
(740) 344-9667
(740) 348-4951
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35.043700
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0529806
—
OH
Enumeration date
01/11/2006
Last updated
08/04/2008
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