Keith Alan Gaede in Traverse City - Pharmacist

Keith Alan Gaede - NPI 1497703011

Keith Alan Gaede is a Pharmacist in Traverse City, Michigan. Keith Alan Gaede practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Keith Alan Gaede is 1497703011. The last update date is 2007-07-08.

Keith Alan Gaede's current location address is 8992 Peninsula Dr, Traverse City, Michigan. You can contact this provider via phone number 2319950961. The mailing address for Keith Alan Gaede is 8992 Peninsula Dr, Traverse City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Alan Gaede
Address 8992 Peninsula Dr, Traverse City, Michigan
Phone Number 2319950961
Fax Number
Sole Proprietor X
Credentials R.PH.

NPI Number Detail

NPI Number 1497703011
Provider Enumeration Date 2006-05-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8992 Peninsula Dr
City Traverse City
State Michigan (MI)
Post Code 496861561
Phone Number 2319950961
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 5302021381
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

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FAQs about Keith Alan Gaede

What is the unique 10-digit identification code issued to Keith Alan Gaede by the Centers for Medicare & Medicaid Services?

The Keith Alan Gaede has been assigned the NPI (National Provider Identifier) 1497703011 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Keith Alan Gaede's physical address?

The Keith Alan Gaede is physically located at 8992 Peninsula Dr, in the city of Traverse City, MI, with the postal code 496861561.

What is the Keith Alan Gaede's specialty and taxonomy code?

The Keith Alan Gaede's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.

On what date did the Keith Alan Gaede receive the assignment of its 1497703011 from the Centers for Medicare & Medicaid Services?

The Keith Alan Gaede was issued its 1497703011 by the Centers for Medicare & Medicaid Services on 2006-05-05.

As of what date were the details pertaining to Keith Alan Gaede last refreshed?

The information related to the Keith Alan Gaede, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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