Individual
DR. MICHAEL PETER GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 421-3494
Mailing address
85 MCNAUGHTEN RD, SUITE 110, COLUMBUS, OH 43213-2174
(614) 751-8846
(614) 751-8894
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35-071851
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
37404
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200896520
—
IN
05
—
2338607
—
OH
05
—
64053648
—
KY
Enumeration date
04/26/2006
Last updated
02/24/2025
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