Provider Demographics
NPI:1720374929
Name:GOSMAN, JAMES HOWARD (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HOWARD
Last Name:GOSMAN
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:27457 HOLIDAY LN
Mailing Address - Street 2:SUITE B
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-3300
Mailing Address - Country:US
Mailing Address - Phone:419-872-5650
Mailing Address - Fax:419-872-5654
Practice Address - Street 1:27457 HOLIDAY LN
Practice Address - Street 2:SUITE B
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-3300
Practice Address - Country:US
Practice Address - Phone:419-872-5650
Practice Address - Fax:419-872-5654
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-26
Last Update Date:2011-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.038307207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery