Individual
DAVID M GAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 GRACELAWN RD, AUBURN, ME 04210-6334
(207) 333-4799
(207) 333-4767
Mailing address
1500 SANDPOINT RD, MUNISING, MI 49862-1406
(906) 387-4338
(906) 387-2825
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301051117
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0690010
BLUE SHIELD
MI
05
—
1518953934
—
ME
05
—
2855852
—
MI
Enumeration date
09/21/2005
Last updated
05/11/2021
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