Individual
DONALD E GULLICKSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1783 COLVIN BLVD, BUFFALO, NY 14223-1107
(716) 874-2150
(716) 874-6765
Mailing address
1783 COLVIN BLVD, BUFFALO, NY 14223-1107
(716) 874-2150
(716) 874-6765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
186403
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295587
—
NY
Enumeration date
04/05/2006
Last updated
07/21/2011
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