Individual
DANIEL GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 293-8704
Mailing address
395 W 12TH AVE RM 662, COLUMBUS, OH 43210-1267
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
57.250942
OH
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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