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Individual

DR. MICHAEL WILLIAM GABRIELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-4567
(724) 728-9729
Mailing address
3572 BRODHEAD RD, SUITE 201, MONACA, PA 15061-3101
(724) 728-6539
(724) 728-7416

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD056171L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001542479
PA
05
0015424790006
PA
05
2261163
OH
05
3810004762
WV
Enumeration date
01/27/2006
Last updated
04/13/2010
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