Individual provider · Type 1 NPI
David Lake Gormsen, DO
Pediatric Emergency Medicine (Emergency Medicine) Physician · Canton, OH
NPI number
1619014602
Active
Practice location
1320 Mercy Dr NW
Canton, OH 44708-2614
Fax (330) 489-1487
Mailing address
4189 Songbird Trl
Stow, OH 44224-2572
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician Primary | 207PP0204X | 34002838 (OH) |
Pediatric Emergency Medicine (Emergency Medicine) Physician: Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
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About NPI 1619014602
David Lake Gormsen, DO's National Provider Identifier is 1619014602, issued on Jan 31, 2007. The primary taxonomy on file is Pediatric Emergency Medicine (Emergency Medicine) Physician (207PP0204X), and the practice location is in Canton, OH. The record was last updated on Jul 8, 2007.