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Individual

ROBERT J. GERDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
30 N MAIN ST, HUBBARD, OH 44425-1653
(330) 534-2421
(330) 534-1960
Mailing address
30 N MAIN ST, HUBBARD, OH 44425-1653
(330) 534-2421
(330) 534-1960

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3735 T451
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0574187
OH
Enumeration date
06/06/2006
Last updated
01/07/2013
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