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Psychiatrists, Psychologists, Therapists

Counselors, Hospitals, Treatment Centers

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MR. ERIC ANTHONY GIETZEN

Health Service

Massillon, Ohio

Provider NPI: 1225554348

Provider Information:
MR. ERIC ANTHONY GIETZEN 
Gender: M
Not Sole Proprietor

Practice Location:
93 ROLLING PARK DR N  MASSILLON, OH 44647 US
Tel: (33-0) -617-7598  Fax: --

Business Mailing Address:
93 ROLLING PARK DRIVE NORTH  MASSILLON, OH 44647 US
Tel: 330-617-7598  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TH0100XBehavioral Health & Social Service Providers
Psychologist
Health Service

Other Provider Identifiers:

IssuerNumberStateType
475186391OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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