Individual
DR. GERALD A. GADOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
560 W MITCHELL ST, SUITE 400, PETOSKEY, MI 49770-2275
(231) 487-2490
(231) 487-6055
Mailing address
560 W MITCHELL ST, SUITE 400, PETOSKEY, MI 49770-2275
(231) 487-2490
(231) 487-6055
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101006796
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0652400274
BLUE SHIELD INDIVIDUAL PI
MI
05
—
4355729
—
MI
01
—
P45990
BLUE CARE NETWORK
MI
Enumeration date
07/26/2006
Last updated
01/21/2014
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