Individual
GARY R WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 PRESERVE WAY, SARATOGA SPRINGS, NY 12866-5842
(518) 577-8858
(518) 584-8663
Mailing address
6 PRESERVE WAY, PO BOX 4786, SARATOGA SPRINGS, NY 12866-5842
(518) 577-8858
(518) 584-8663
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
138119
NY
207Q00000X
Family Medicine Physician
138119
NY
Other
Enumeration date
11/09/2005
Last updated
08/12/2013
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