Wasiak, Gary Alan

Wasiak, Gary Alan is an sole proprietor health care provider with primary practice located at 2997 E Highland Rd , Highland MI 48356-2811. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Wasiak, Gary Alan can be contacted via phone (248) 887-3729.

Contact Information

Primary practice address
2997 E Highland Rd Highland MI 48356-2811
Phone: (248) 887-3729
Fax: (248) 889-8910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901000651 Michigan
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901000651 Michigan

Profile Details

NPI number 1275696908
LBN Legal business name Wasiak, Gary Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1275696908 NPPES
Michigan MEDICAID 1062554
Michigan Other 5825393

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