Individual
DR. MICHAEL RAYMOND GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5575 W LAS POSITAS BLVD, SUITE 240, PLEASANTON, CA 94588
(925) 460-5000
Mailing address
5575 W LAS POSITAS BLVD, SUITE 240, PLEASANTON, CA 94588
(925) 460-5000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
5852453
UT
207W00000X
Ophthalmology Physician
Primary
A95523
CA
Other
Enumeration date
09/07/2006
Last updated
05/09/2013
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