Gardine, Cyprian A

Gardine, Cyprian A is an individual health care provider with primary practice located at 300 Lafayette Ave Se Ste 2045, Grand Rapids MI 49503-4692. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Gardine, Cyprian A can be contacted via phone (616) 685-3098.

Contact Information

Primary practice address
300 Lafayette Ave Se Ste 2045 Grand Rapids MI 49503-4692
Phone: (616) 685-3098
Fax: (616) 685-3095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 4301106353 Michigan

Profile Details

NPI number 1659583888
LBN Legal business name Gardine, Cyprian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Dec 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659583888 NPPES
Indiana MEDICAID 200861900

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