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Individual

DR. MICHAEL BERNARD GASKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
13432 MCKINLEY HWY STE 5, MISHAWAKA, IN 46545-7447
(574) 255-0035
(574) 255-7786
Mailing address
225 N NOTRE DAME AVE, SOUTH BEND, IN 46617-2839
(574) 234-6561
(574) 287-5144

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007239A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200106530
IN
Enumeration date
11/21/2006
Last updated
04/19/2021
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