Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | D8284 | MN |
NPI | 1225001381 |
---|---|
Provider Name | Stephen Edward Gadient |
First Address | North Oaks, MN 55127-3019 |
Second Address | North Oaks, MN 55127-3019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 07/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C01337 | MEDICARE GROUP NUMBER (01) | MN |
C01683 | MEDICARE GROUP NUMBER (01) | MN |
T37374 | (02) | MN |