Individual
MICHAEL R GEDEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 SPRINGSIDE DR STE 320C, FAIRLAWN, OH 44333-2486
(330) 376-1071
Mailing address
3515 MASSILLON RD, STE 300, UNIONTOWN, OH 44685-7854
(330) 376-1071
(330) 376-0130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35055402
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130500
ANTHEM
OH
01
—
0402221
UHC
OH
05
—
0726772
—
OH
01
—
110035989
RR MEDICARE
ND
01
—
2220539
AETNA
OH
01
—
341330708
CIGNA
OH
Enumeration date
07/29/2005
Last updated
07/30/2019
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