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Individual
DR. MICHAEL GAESSER
Active
Individual
DR. MICHAEL GAESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
219612
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02104281
—
NY
01
—
08S011
MEDICARE PTAN
NY
01
—
363284
MVP
NY
01
—
446676
AETNA
NY
Enumeration date
07/19/2005
Last updated
04/23/2015
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