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NPI Code Detail

MEDICARE: JAMES GANDY DO

MEDICARE: JAMES GANDY DO
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
12084P0805XGeriatric Psychiatry Physician5101011574MI

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 : 1871628628
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES GANDY DO
Provider Business Mailing Address
First Line : 140 MICHIGAN AVE W
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49017-3602
Country : US
Telephone Number : 269-966-1460
Fax Number : 269-966-2844
Provider Business Practice Location Address
First Line : 140 MICHIGAN AVE W
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49017-3602
Country : US
Telephone Number : 269-966-1460
Fax Number : 269-966-2844
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 11/27/2023

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