Individual
DR. GARY BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35040 CHARDON RD, SUITE G200, WILLOUGHBY HILLS, OH 44094
(440) 953-9014
(440) 953-9173
Mailing address
35040 CHARDON RD, SUITE G200, WILLOUGHBY HILLS, OH 44094
(440) 953-9014
(440) 953-9173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47631
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0490044
—
OH
Enumeration date
11/30/2006
Last updated
10/24/2011
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