| Doctor Name: | DR. MICHAEL K GAVIGAN |
| NPI Number: | 1588779607 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 1770 |
| Business Practice Address: | 4 Barlows Landing Rd Suite #17 Pocasset, MA - 025591980 |
| Business Phone Number: | 5085637133 |
| Business Fax Number: | 5085636771 |
| Mailing Address: | Po Box 3227, Suite #17 POCASSET |
| State: | MA |
| Postal Code: | 025593227 |
| Phone Number: | 5085637133 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2006 |
| NPI Last Update Date: | 09/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 1770 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |