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NPI Profile for ANDREW K GAVAGAN MD PC in TROY, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI # | 1619163748 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/21/2007 | |
| Last updated | 09/21/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ANDREW K GAVAGAN MD PC
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ANDREW K GAVAGAN MD PC