Organization
MANSFIELD ORTHOPAEDIC SURGERY & RHEUMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE L GIBSON MD (PRESIDENT)
(419) 756-8899
Entity
Organization
Contact information
Practice address
536 S TRIMBLE RD, MANSFIELD, OH 44906
(419) 756-8899
(419) 756-6004
Mailing address
536 S TRIMBLE RD, MANSFIELD, OH 44906
(419) 756-8899
(419) 756-6004
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000295361
ANTHEM
OH
05
—
0326552
—
OH
01
—
CC2406
RAILROAD MEDICARE
OH
Enumeration date
03/28/2006
Last updated
06/08/2009
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