Gwizdala, Charles John
Gwizdala, Charles John is an individual health care provider with primary practice located at 5087 N Royal Dr , Traverse City MI 49684-6987. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gwizdala, Charles John can be contacted via phone (231) 935-0440.Contact Information
Primary practice address
5087 N Royal Dr
Traverse City MI 49684-6987
Phone: (231) 935-0440
Fax: (231) 935-0445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 4301051700 | Michigan |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 4301051700 | Michigan |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 4301051700 | Michigan |
Profile Details
| NPI number | 1326045840 |
|---|---|
| LBN Legal business name | Gwizdala, Charles John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Oct 14th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326045840 | NPPES |
| Michigan | Other | 0B81008 | BCBS |
| Michigan | Other | 290008345 | BCBS |
| Michigan | MEDICAID | 3307861 | BCBS |
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