Provider Demographics
NPI:1508996513
Name:GEBIEN, DARRYL JORDAN (MD, MSC)
Entity Type:Individual
Prefix:DR
First Name:DARRYL
Middle Name:JORDAN
Last Name:GEBIEN
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 GEORGIAN DR
Mailing Address - Street 2:APT
Mailing Address - City:BARRIE
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L4M 6M2
Mailing Address - Country:CA
Mailing Address - Phone:705-728-9090
Mailing Address - Fax:
Practice Address - Street 1:201 GEORGIAN DR
Practice Address - Street 2:
Practice Address - City:BARRIE
Practice Address - State:ONTARIO
Practice Address - Zip Code:L4M 6M2
Practice Address - Country:CA
Practice Address - Phone:705-728-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 97534174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty