Steven M Gualdoni in Marquette - Physician Assistant

Steven M Gualdoni - NPI 1003800640

Steven M Gualdoni is a Physician Assistant in Marquette, Michigan. Steven M Gualdoni practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Steven M Gualdoni is 1003800640. The last update date is 2007-11-01.

Steven M Gualdoni's current location address is 1414 W Fair Ave, Marquette, Michigan. You can contact this provider via phone number 9062253922 and fax number 9062254527. The mailing address for Steven M Gualdoni is 1414 W Fair Ave, Marquette, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven M Gualdoni
Address 1414 W Fair Ave, Marquette, Michigan
Phone Number 9062253922
Fax Number 9062254527
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1003800640
Provider Enumeration Date 2005-09-09
Last Updated Date 2007-11-01

Provider Mailing Address Detail

Address 1414 W Fair Ave
City Marquette
State Michigan (MI)
Post Code 498552675
Phone Number 9062253922
Fax Number 9062254527

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601001259
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00231915 MI RAILROAD MEDICARE

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FAQs about Steven M Gualdoni

What is the unique identifier code issued to Steven M Gualdoni by the Centers for Medicare & Medicaid Services (CMS)?

The Steven M Gualdoni has been assigned the NPI (National Provider Identifier) 1003800640. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Steven M Gualdoni located?

The Steven M Gualdoni is located at 1414 W Fair Ave, Marquette, MI 498552675.

Could you please provide the complete physical location address of Steven M Gualdoni?

The Steven M Gualdoni is physically situated at 1414 W Fair Ave, in the city of Marquette, state of MI, with the postal code 498552675.

What is the area of specialization for Steven M Gualdoni, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Steven M Gualdoni is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1003800640 to Steven M Gualdoni?

The Steven M Gualdoni received its 1003800640 assignment from the Centers for Medicare & Medicaid Services on 2005-09-09.

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