Individual
JOSUE PERETRA GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 FISHINGER BLVD, STE 280, HILLIARD, OH 43026-7568
(614) 222-0743
(614) 222-0744
Mailing address
3535 FISHINGER BLVD, STE 280, HILLIARD, OH 43026-7568
(614) 222-0743
(614) 222-0744
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036107556
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
036107556
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
35.072606
OH
Other
Enumeration date
04/07/2006
Last updated
06/08/2021
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