| Doctor Name: | MR. DAVID STEPHEN GAWLIK |
| NPI Number: | 1124048822 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C, MS |
| License Number: | 0550030787 |
| Business Practice Address: | 354 Mountain View Dr Suite 300 Colchester, VT - 054465968 |
| Business Phone Number: | 8028640192 |
| Business Fax Number: | 8028604919 |
| Mailing Address: | 354 Mountain View Dr, Suite 300 COLCHESTER |
| State: | VT |
| Postal Code: | 054465968 |
| Phone Number: | 8028640192 |
| Fax Number: | 8028604919 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 09/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 0550030787 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |