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Individual

DR. GERARD A. SKAZIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1604 BLOUNT AVE, GUNTERSVILLE, AL 35976-1840
(256) 582-7486
(256) 582-9844
Mailing address
PO BOX 404, GUNTERSVILLE, AL 35976-0404
(256) 582-7486
(256) 582-9844

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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