Andrew K Gavagan is a Plastic Surgery in Troy, Michigan. Andrew K Gavagan practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Andrew K Gavagan is 1225011596. The last update date is 2014-08-29.
Andrew K Gavagan's current location address is 1080 Kirts Blvd, Troy, Michigan. You can contact this provider via phone number 2483699300 and fax number 2483625272. The mailing address for Andrew K Gavagan is 1080 Kirts Blvd, Troy, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew K Gavagan |
|---|---|
| Address | 1080 Kirts Blvd, Troy, Michigan |
| Phone Number | 2483699300 |
| Fax Number | 2483625272 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225011596 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2014-08-29 |
Provider Mailing Address Detail
| Address | 1080 Kirts Blvd |
|---|---|
| City | Troy |
| State | Michigan (MI) |
| Post Code | 480844881 |
| Phone Number | 2483699300 |
| Fax Number | 2483625272 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 4301057593 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 349596810 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Andrew K Gavagan?
The Andrew K Gavagan has been issued the NPI (National Provider Identifier) 1225011596 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Andrew K Gavagan's physical address?
The Andrew K Gavagan is physically located at 1080 Kirts Blvd, in the city of Troy, MI, with the postal code 480844881.
What is Andrew K Gavagan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Andrew K Gavagan is Plastic Surgery, and the taxonomy code that classifies this field of practice is 208200000X.
On what date did the Andrew K Gavagan receive its 1225011596 assignment from the Centers for Medicare & Medicaid Services?
The Andrew K Gavagan was assigned its 1225011596 by the Centers for Medicare & Medicaid Services on 2005-11-21.
As of what date were the details related to Andrew K Gavagan most recently updated or revised?
The information pertaining to Andrew K Gavagan, including its address, specialty, and other relevant details, was last updated or revised on 2014-08-29.