Organization
THOMAS G GAZDECKI, DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS G GADECKI DO (OWNER)
(734) 692-9095
Entity
Organization
Contact information
Practice address
2128 W JEFFERSON AVE, TRENTON, MI 48183-5470
(734) 692-9095
(734) 692-9103
Mailing address
2128 W JEFFERSON AVE, TRENTON, MI 48183-5470
(734) 692-9095
(734) 692-9103
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
008577
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3230686 11
—
MI
Enumeration date
01/28/2013
Last updated
01/28/2013
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