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Individual

DR. JOHN R GOSCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3015
(216) 844-8687
Mailing address
8055 MAYFIELD RD STE 105, CHESTERLAND, OH 44026-2447

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
29982
WV
208600000X
Surgery Physician
12275
NV
208600000X
Surgery Physician
29982
WV
2086S0120X
Pediatric Surgery Physician
12275
NV
2086S0120X
Pediatric Surgery Physician
29982
WV
2086S0120X
Pediatric Surgery Physician
31758
AL
2086S0120X
Pediatric Surgery Physician
Primary
35.063349
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00124161
MS
05
0104147
OH
05
100512192
NV
05
222004
AZ
Enumeration date
10/20/2006
Last updated
01/11/2022
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