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NPI Code Detail

MEDICARE: GAVIN SCHALK MD

MEDICARE: GAVIN SCHALK 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 Physician4351056195MI

General Provider Information

NPI Number : 1174361182
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAVIN SCHALK MD
Provider Business Mailing Address
First Line : 3601 W 13 MILE RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-6712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 W 13 MILE RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-6712
Country : US
Telephone Number : 248-655-0063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2024
Last Update Date : 06/01/2026

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