Individual
DR. GARY CLASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 WABASH AVE, RADIOLOGY DEPARTMENT, AKRON, OH 44307-2433
(330) 384-6450
Mailing address
PO BOX 931286, CLEVELAND, OH 44193-1494
(888) 719-9012
(330) 493-7123
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34002505
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0322127
—
OH
01
—
P00278914
RAILROAD MEDICARE
OH
Enumeration date
08/12/2005
Last updated
08/06/2009
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