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Contact Information

DAVID L GORMSEN, DO
1320 MERCY DR NW
CANTON, OH44708-2614
 Phone: 330-489-1074
 Fax: 330-489-1487
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DAVID L GORMSEN · (Male)

NPI Number 1619014602
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/31/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 34002838
  • OH Other 34002838 MEDICAL LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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