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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL EARL GAMBLE

Active Sole Proprietor

Preferred Provider Organization · CLEVELAND, OH

Registration Details

NPI Number
1477392710
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2024 (1.9127434795637 yrs)
Last Updated
May 24, 2024
Licenses
343900000X (OH)
873328741 (OH)
Sole Proprietor
Yes

Practice Information

Address
3212 W 97TH ST
CLEVELAND, OH, 441024744
Browse OH providers · Browse ZIP 44102
Phone
2163569186
Primary Specialty
Preferred Provider Organization
305R00000X
Additional Specialty
Transportation Broker

Other Preferred Provider Organization Providers in CLEVELAND, OH

Name Credential NPI
IEISHA RENE WOODY 1558025882
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.