Individual
STEVEN MATTHEW GORSUCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 NORTHWEST AVE, TALLMADGE, OH 44278-1809
(330) 633-1352
(330) 633-6068
Mailing address
121 NORTHWEST AVE, TALLMADGE, OH 44278-1809
(330) 633-1352
(330) 633-6068
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35075053G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2201183
—
OH
Enumeration date
06/09/2006
Last updated
07/08/2007
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