Individual
AUSTIN GAJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4090
(918) 579-1000
Mailing address
1120 S UTICA AVE, TULSA, OK 74104-4012
(775) 273-8838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
74741-21
WI
207R00000X
Internal Medicine Physician
Primary
7796
OK
208M00000X
Hospitalist Physician
74741
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992292429
—
WI
Enumeration date
04/19/2018
Last updated
02/17/2025
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