Individual
JACQUELINE GADIGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 324-3697
(734) 246-6968
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(800) 999-5829
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
208792
AZ
163W00000X
Registered Nurse
4704406848
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704406848
MI
Other
Enumeration date
07/17/2023
Last updated
04/13/2026
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