institution
Michael D Mc Gavic A Professional Corporation
Podiatrist in Stockton, California
NPI 1144548439

Michael D Mc Gavic A Professional Corporation is a Podiatrist based in Norwalk, CA. Michael D Mc Gavic A Professional Corporation practices in Stockton, CA. The NPI Number for Michael D Mc Gavic A Professional Corporation is 1144548439 and holds a License No. E4048 (California).

The current practice location address for Michael D Mc Gavic A Professional Corporation is 1755 W Hammer Ln, Stockton, CA and can be reached out via phone at 562-651-1111 and via fax at 562-651-1131. You can also correspond with Michael D Mc Gavic A Professional Corporation through the mailing address at 13132 STUDEBAKER RD, NORWALK, CA - 90650-2557 (mailing address contact number: 562-651-1111).

Location: 1755 W Hammer Ln, Stockton, CA, 90650-2557
institution
Provider Profile Details
NPI Number
1144548439
Provider Name
Michael D Mc Gavic A Professional Corporation
Credential
Provider Entity Type
Organization
Address
1755 W Hammer Ln, Stockton, CA, 90650-2557
Phone Number
562-651-1111
Fax Number
562-651-1131
Provider Enumeration Date
05/11/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E40480 01 CA MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
1755 W Hammer Ln
City
State
Zip
95209-2900
Phone Number
562-651-1111
Fax Number
562-651-1131
person
Provider Business Mailing Address Details
Address
13132 Studebaker Rd
City
State
Zip
90650-2557
Phone Number
562-651-1111
Fax Number
562-651-1131
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
E4048 (California)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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