Gilbert A Masterson in Marne - Addiction Medicine
Gilbert A Masterson - NPI 1497740930
Gilbert A Masterson is a Addiction Medicine in Marne, Michigan. Gilbert A Masterson practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Gilbert A Masterson is 1497740930. The last update date is 2023-02-07.
Gilbert A Masterson's current location address is 15146 16th Ave, Marne, Michigan. You can contact this provider via phone number 6165209075 and fax number 6163416013. The mailing address for Gilbert A Masterson is 15146 16th Ave, Marne, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gilbert A Masterson |
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Address | 15146 16th Ave, Marne, Michigan |
Phone Number | 6165209075 |
Fax Number | 6163416013 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1497740930 |
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Provider Enumeration Date | 2005-09-12 |
Last Updated Date | 2023-02-07 |
Provider Mailing Address Detail
Address | 15146 16th Ave |
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City | Marne |
State | Michigan (MI) |
Post Code | 494359605 |
Phone Number | 6165209075 |
Fax Number | 6163416013 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 2084A0401X |
Licence No | 4301062800 |
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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4305173 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gilbert A Masterson by the Centers for Medicare & Medicaid Services?
The Gilbert A Masterson has been assigned the NPI (National Provider Identifier) 1497740930. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gilbert A Masterson is located?
The Gilbert A Masterson is situated at the following address: 15146 16Th Ave, Marne, MI, 494359605.
What is the Gilbert A Masterson's area of specialization and corresponding taxonomy classification?
The Gilbert A Masterson's specialty field is Addiction Medicine, and it falls under the taxonomy code 2084A0401X, which categorizes healthcare providers based on their specialties.
When did Gilbert A Masterson receive its 1497740930 assignment?
The Gilbert A Masterson was assigned its 1497740930 on 2005-09-12, which is the date when this unique identifier was issued to the organization.
As of what date were the Gilbert A Masterson's details last updated?
The information pertaining to the Gilbert A Masterson, including its address, specialty, and other details, was most recently updated on 2023-02-07.