Gary Bridgwater is a Specialist in Nisswa, Minnesota. Gary Bridgwater practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gary Bridgwater is 1477505204. The last update date is 2023-03-07.
Gary Bridgwater's current location address is 5898 Nashway Rd, Nisswa, Minnesota. You can contact this provider via phone number 6083344812. The mailing address for Gary Bridgwater is 5898 Nashway Rd, Nisswa, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Bridgwater |
|---|---|
| Address | 5898 Nashway Rd, Nisswa, Minnesota |
| Phone Number | 6083344812 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477505204 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 5898 Nashway Rd |
|---|---|
| City | Nisswa |
| State | Minnesota (MN) |
| Post Code | 564682358 |
| Phone Number | 6083344812 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 56147 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19957 | WI | MEDICAL LICENSE | |
| 56147 | MN | MINNESOTA MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gary Bridgwater?
The Gary Bridgwater has been issued the NPI (National Provider Identifier) 1477505204 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Gary Bridgwater?
The Gary Bridgwater is physically situated at 5898 Nashway Rd, in the city of Nisswa, state of MN, with the postal code 564682358.
What is Gary Bridgwater's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gary Bridgwater is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When did the Gary Bridgwater receive its 1477505204?
The Gary Bridgwater was issued its 1477505204 on 2006-05-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Gary Bridgwater last refreshed?
The information related to the Gary Bridgwater, including its address, specialty, and other relevant details, was last updated on 2023-03-07.