Organization
GARY ADISKA D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE KRACHIE (BUSINESS STAFF)
(517) 851-8008
Entity
Organization
Contact information
Practice address
100 W MAIN ST, STOCKBRIDGE, MI 49285-9483
(517) 851-8008
(517) 851-8836
Mailing address
100 W MAIN ST, P.O. BOX 519, STOCKBRIDGE, MI 49285-9483
(517) 851-8008
(517) 851-8836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14371
MI
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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