Individual
GREGORY MICHAEL BEDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4275 STEELS POINTE, STOW, OH 44224-6841
(330) 923-0399
(330) 923-6677
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 462-3485
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
35088522
OH
208600000X
Surgery Physician
35.088522
OH
2086S0102X
Surgical Critical Care Physician
35.088522
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3119977
—
OH
01
—
4315911
MEDICARE ID
OH
Enumeration date
05/01/2007
Last updated
12/12/2025
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