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Organization

MICHAEL D. MCGAVIC DPM, A PROFESSIONAL CORPORATION

Active
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Organization

MICHAEL D. MCGAVIC DPM, A PROFESSIONAL CORPORATION

Active
Other names
Michael D. McGavic, A Professional Corporation, Michael D. McGavic, A Professional Corporation
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL DARIN MCGAVIC (DOCTOR/PRESIDENT)
(562) 651-1111
Entity
Organization

Contact information

Practice address
13132 STUDEBAKER RD, SUITE 2, NORWALK, CA 90650-2557
(562) 651-1111
(562) 651-1131
Mailing address
13132 STUDEBAKER RD, SUITE 2, NORWALK, CA 90650-2557
(562) 651-1111
(562) 651-1131

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4048
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000E40480
MEDICARE ID
CA
Enumeration date
05/11/2010
Last updated
11/20/2024
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