Gazdecki, Thomas George

Gazdecki, Thomas George is an sole proprietor health care provider with primary practice located at 5400 Fort St Ste 200 , Trenton MI 48183-4636. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Gazdecki, Thomas George can be contacted via phone (734) 676-4996.

Contact Information

Primary practice address
5400 Fort St Ste 200 Trenton MI 48183-4636
Phone: (734) 676-4996
Fax: (734) 676-4407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 5101008577 Michigan
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 5101008577 Michigan

Profile Details

NPI number 1023038023
LBN Legal business name Gazdecki, Thomas George
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Mar 21st, 2018 - about 6 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 1023038023 NPPES
Michigan MEDICAID 323068611

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