Individual
DR. LOUIS S HABRYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2147 PROFESSIONAL DR, GAYLORD, MI 49735-0003
(989) 732-1753
(989) 731-1425
Mailing address
829 N CENTER AVE, SUITE 298, GAYLORD, MI 49735-1595
(989) 731-7708
(989) 731-7929
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101008504
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F96004
GROUP MEDICARE ID NUMBER
MI
05
—
1915384
—
MI
01
—
C20677
RAILROAD MEDICARE
MI
Enumeration date
12/07/2005
Last updated
12/21/2020
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