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Individual

CAROLYN GAGACKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
PRESBYTERIAN VILLAGE - EAST, 33875 KIELY DRIVE, CHESTERFIELD, MI 48407
(810) 725-6030
Mailing address
3800 WOODWARD AVE, SUITE 702, DETROIT, MI 48201-2061
(313) 262-1303
(313) 262-1238

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704100427
MI

Other

Enumeration date
07/19/2006
Last updated
07/08/2007
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