Individual
DR. GORDON STEVEN FESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10600 MONTGOMERY RD, SUITE 200, CINCINNATI, OH 45242-4463
(513) 794-5600
(513) 281-1908
Mailing address
PO BOX 637910, CINCINNATI, OH 45263-7910
(513) 853-4706
(513) 853-4743
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35036655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274617
—
OH
01
—
100003220
RAILROAD MEDICARE
OH
05
—
100093660
—
IN
05
—
64789738
—
KY
01
—
P00675348
RAILROAD MEDICARE
IN
Enumeration date
07/18/2005
Last updated
02/26/2014
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