Individual
DR. GARY W CHMIELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 N ORANGE AVE STE 681, ORLANDO, FL 32804-4654
(407) 821-3550
Mailing address
2501 N ORANGE AVE STE 681, ORLANDO, FL 32804-4654
(407) 821-3550
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036128820
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301053023
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME165060
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103360644
—
MI
01
—
330F373770
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/05/2005
Last updated
12/27/2023
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