Individual
MICHAEL EARL GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3212 W 97TH ST, CLEVELAND, OH 44102-4744
(216) 356-9186
Mailing address
3212 W 97TH ST, CLEVELAND, OH 44102-4744
(216) 356-9186
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
OH
342000000X
Transportation Network Company
343900000X
OH
342000000X
Transportation Network Company
873328741
OH
342000000X
Transportation Network Company
—
OH
342000000X
Transportation Network Company
—
—
347E00000X
Transportation Broker
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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