Dr. Thomas George Gazdecki
Vascular Surgeon Cardiothoracic Vascular Surgeon
5400 Fort St Ste 200
Trenton
, Michigan 48183-4636
Dr. Thomas George Gazdecki
Vascular Surgeon Cardiothoracic Vascular Surgeon
5400 Fort St Ste 200
Trenton
, Michigan 48183-4636
(734) 676-4407
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About
Features
Specialties
- Vascular Surgeon
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Thomas George Gazdecki
- 5400 Fort St Ste 200
- Trenton, MI
- Zip : 48183-4636
- Fax : (734) 676-4407
- Phone : (734) 676-4996
Second Address
- Dr. Thomas George Gazdecki
- 5400 Fort St Ste 200
- Trenton, MI
- Zip : 48183-4636
- Fax : (734) 676-4407
- Phone : (734) 676-4996
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0129X | Vascular Surgeon | 5101008577 | MI |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 5101008577 | MI |
National Provider Identifier
| NPI | 1023038023 |
|---|---|
| Provider Name | Dr. Thomas George Gazdecki |
| First Address | Trenton, MI 48183-4636 |
| Second Address | Trenton, MI 48183-4636 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 21/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 323068611 | (05) | MI |
| E85298 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.