Individual
DR. RICHARD FRANCIS GAEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACP
Contact information
Practice address
42 NORTH BREIEL BLVD, MIDDLETOWN, OH 45042-3804
(513) 422-0024
(513) 422-0232
Mailing address
42 NORTH BREIEL BLVD, MIDDLETOWN, OH 45042-3804
(513) 422-0024
(513) 422-0232
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35037374G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000015648
ANTHEM
—
05
—
0428433
—
OH
05
—
0815621
—
OH
01
—
641304
AETNA
—
01
—
9932791
MEDICARE GROUP
OH
Enumeration date
07/28/2006
Last updated
12/31/2015
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