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NPI Code Detail

MEDICARE: ADRIAN S GAVIGLIO DC PC

MEDICARE: ADRIAN S GAVIGLIO DC PC
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
1111N00000XChiropractor

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 : 1114187242
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADRIAN S GAVIGLIO DC PC
Provider Business Mailing Address
First Line : 3801 ELIZABETH LK RD
Second Line :
City : WATERFORD
State : MI
Zip : 48328-3017
Country : US
Telephone Number : 248-681-7655
Fax Number : 248-681-4088
Provider Business Practice Location Address
First Line : 3801 ELIZABETH LK RD
Second Line :
City : WATERFORD
State : MI
Zip : 48328-3017
Country : US
Telephone Number : 248-681-7655
Fax Number : 248-681-4088
Authorized Official
Title or Position : PRESIDENT OWNER
Name : DR. ADRIAN STEVEN GAVIGLIO
Credential : DOCTOR OF CHIROPRACT
Telephone Number : 248-681-7655
Provider Enumeration Date : 06/12/2008
Last Update Date : 09/04/2008

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