Pedraza, Gabriel E
Pedraza, Gabriel E is an individual health care provider with primary practice located at 5900 Byron Center Ave Sw , Wyoming MI 49519-4950. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Pedraza, Gabriel E can be contacted via phone (616) 252-7200.Contact Information
Primary practice address
5900 Byron Center Ave Sw
Wyoming MI 49519-4950
Phone: (616) 252-7200
Fax: (616) 252-6239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301082542 | Michigan |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 4301082542 | Michigan |
Profile Details
| NPI number | 1992785588 |
|---|---|
| LBN Legal business name | Pedraza, Gabriel E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Mar 17th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992785588 | NPPES |
| Michigan | MEDICAID | 4529372 | |
| Michigan | Other | CA2184 |
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