Individual
DR. MICHAEL T. GAMBLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W WILSON BRIDGE RD STE 100, WORTHINGTON, OH 43085-2590
(614) 796-2900
(614) 796-2901
Mailing address
701 TECH CENTER DR STE 250, GAHANNA, OH 43230-1987
(614) 944-4800
(614) 944-4750
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35073770
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2242755
—
OH
Enumeration date
04/22/2006
Last updated
02/13/2020
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