Individual
DR. GARY NORMAN GITSCHLAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 W CLINCH AVE, SUITE 400 KOPPEL PLAZA, KNOXVILLE, TN 37916-2219
(865) 521-7998
(865) 521-7405
Mailing address
2100 W CLINCH AVE, SUITE 400 KOPPEL PLAZA, KNOXVILLE, TN 37916-2219
(865) 521-7998
(865) 521-7405
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD0000014247
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20250
BLUE CROSS PROVIDER #
TN
05
—
3196142
—
TN
05
—
64772437
—
KY
Enumeration date
10/18/2006
Last updated
07/08/2007
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