Individual
GABRIEL E PEDRAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-4950
(616) 252-7200
(616) 252-6239
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301082542
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4301082542
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4529372
—
MI
01
—
CA2184
RAILROAD MEDICARE
MI
Enumeration date
01/19/2006
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us