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NPI Code Detail

MEDICARE: GARY NADEAU MD

MEDICARE: GARY NADEAU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician35078394OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427073923
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY NADEAU MD
Provider Business Mailing Address
First Line : 171 BAUMAN RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-3803
Country : US
Telephone Number : 716-634-2780
Fax Number :
Provider Business Practice Location Address
First Line : 200 OHIO ST
Second Line :
City : MEDINA
State : NY
Zip : 14103-1063
Country : US
Telephone Number : 585-798-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 02/27/2008

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