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Individual

PAUL R GAYEFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2500 7TH AVE S STE 217, ESCANABA, MI 49829-1176
(906) 789-1400
Mailing address
2500 7TH AVE S STE 217, ESCANABA, MI 49829-1176
(906) 789-1400

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002306
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
900B10059
BCBS
MI
01
900B110170
BCBS
MI
05
945096229
MI
01
DG1305
RAILROAD
Enumeration date
08/20/2006
Last updated
08/29/2014
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