Individual
DR. GERARD A. SKAZIAK
Active
Individual
DR. GERARD A. SKAZIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
171
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000078853 (5738)
—
AL
01
—
00171
CONTROLLED SUBSTANCE LICE
AL
01
—
1205
LVFFC STATE LICENSE
AL
01
—
1253800001
DMERC #
—
01
—
1265543524
NPI INDIVIDUAL #
—
01
—
1306045588
GROUP NPI #
—
01
—
171
AL STATE LICENSE
AL
01
—
2710035
UNITED HEALTH CARE
AL
01
—
38652
HEALTH PARTNERS
AL
01
—
480024856
RAILROAD MEDICARE
AL
01
—
631189931
OLD TAX ID #
—
01
—
721400816
NEW TAX ID #
—
01
—
9861
GUNTERSVILLE CITY LICENSE
AL
Enumeration date
08/31/2006
Last updated
03/07/2023
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