Individual
DR. ADAM RUSSELL GWIZDALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, PHARM.D.
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-3937
Mailing address
16923 PIPER WAY APT 304, GRAND HAVEN, MI 49417-9075
(989) 798-0222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302037090
MI
207P00000X
Emergency Medicine Physician
Primary
5101028136
MI
390200000X
Student in an Organized Health Care Education/Training Program
5151015914
MI
Other
Enumeration date
09/12/2013
Last updated
01/19/2026
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