Gary Edelman is a Surgery in Waupaca, Wisconsin. Gary Edelman practices all healthcare services and medical treatments related to Surgery. The NPI Number for Gary Edelman is 1417977430. The last update date is 2012-01-26.
Gary Edelman's current location address is 902 Riverside Dr, Waupaca, Wisconsin. You can contact this provider via phone number 7152581160 and fax number 7152563079. The mailing address for Gary Edelman is 902 Riverside Dr, Waupaca, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Edelman |
|---|---|
| Address | 902 Riverside Dr, Waupaca, Wisconsin |
| Phone Number | 7152581160 |
| Fax Number | 7152563079 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417977430 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2012-01-26 |
Provider Mailing Address Detail
| Address | 902 Riverside Dr |
|---|---|
| City | Waupaca |
| State | Wisconsin (WI) |
| Post Code | 549811992 |
| Phone Number | 7152581160 |
| Fax Number | 7152563079 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 30386 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34265900 | WI | -- | |
| 2469010 | WI | MEDICARE PTAN | |
| 20052618 | WI | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary Edelman by the Centers for Medicare & Medicaid Services?
The Gary Edelman has been issued the NPI (National Provider Identifier) 1417977430 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Gary Edelman's physical address?
The Gary Edelman is physically located at 902 Riverside Dr, in the city of Waupaca, WI, with the postal code 549811992.
What is Gary Edelman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gary Edelman is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.
On what date did the Gary Edelman receive the assignment of its 1417977430 from the Centers for Medicare & Medicaid Services?
The Gary Edelman was issued its 1417977430 by the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date was the information pertaining to Gary Edelman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary Edelman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-26.