National Provider Identifier Database

ANDREW K GAVAGAN MD PC
Plastic and Reconstructive Surgery


Contact Information

ANDREW K GAVAGAN MD PC
1080 KIRTS BLVD
STE 700
TROY, MI48084-4881
Phone: 248-362-2300
Fax:
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for ANDREW K GAVAGAN MD PC

NPI Number 1619163748
Legal business name
LBN
ANDREW K GAVAGAN MD PC
Authorized official ANDREW GAVAGAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/21/2007
Last updated 09/21/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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