Andrew K Gavagan MD PC
Surgery, Plastic and Reconstructive Surgery in Troy, MI. Organization (NPI-2).
NPI number1619163748
StatusActive
Last updated in NPPESSep 21, 2007
Details
- NPI
- 1619163748
- Entity type
- Organization (NPI-2)
- Legal business name
- Andrew K Gavagan MD PC
- Organization subpart
- No
- Enumeration date
- Sep 21, 2007
- Last updated
- Sep 21, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – | Yes |
Practice location
1080 Kirts BlvdSte 700
Troy, MI 48084-4881
Phone 248-362-2300
Mailing address
1080 Kirts BlvdSte 700
Troy, MI 48084-4881
Phone 248-362-2300
Authorized official
Andrew Gavagan
Owner
2483622300
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