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Organization

ANDREW K GAVAGAN MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW GAVAGAN MD (OWNER)
(248) 362-2300
Entity
Organization

Contact information

Practice address
1080 KIRTS BLVD, STE 700, TROY, MI 48084-4881
(248) 362-2300
Mailing address
1080 KIRTS BLVD, STE 700, TROY, MI 48084-4881
(248) 362-2300

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
09/21/2007
Last updated
09/21/2007
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