Individual
DR. THOMAS GEORGE GAZDECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5400 FORT ST STE 200, TRENTON, MI 48183-4636
(734) 676-4996
(734) 676-4407
Mailing address
5400 FORT ST STE 200, TRENTON, MI 48183-4636
(734) 676-4996
(734) 676-4407
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
5101008577
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
5101008577
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323068611
—
MI
Enumeration date
07/20/2006
Last updated
03/21/2018
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