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Individual

GABRIEL SCHNICKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4510 EXECUTIVE DRIVE, PLAZA 7, SAN DIEGO, CA 92121-3021
(858) 657-6487
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
A83329
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A833290
CA
Enumeration date
04/23/2009
Last updated
09/13/2017
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