Individual
GABRIELLE MARIE KOCZAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3909 ORANGE PL STE 2100, BEACHWOOD, OH 44122-8400
(216) 896-1800
(216) 896-1801
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(330) 626-5566
(330) 626-2042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-009460
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2983517
—
OH
Enumeration date
06/28/2007
Last updated
01/10/2021
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