Organization
DAVID Z GADZINSKI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ZIGMUND GADZINSKI M.D. (PRESIDENT)
(231) 845-1215
Entity
Organization
Contact information
Practice address
126 W LUDINGTON AVE, LUDINGTON, MI 49431-2022
(231) 845-1215
Mailing address
126 W LUDINGTON AVE, LUDINGTON, MI 49431-2022
(231) 845-1215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301042809
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080E360010
MI BLUE CROSS BLUE SHIELD
MI
01
—
115533
PPOM
MI
05
—
1443200
—
MI
01
—
5972242
AETNA
—
01
—
900019846
PRIORITY HEALTH
MI
01
—
DG5084
RAILROAD MEDICARE
—
Enumeration date
08/31/2006
Last updated
08/11/2010
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