Doctor Name: | DR. GARY F GLADIEUX |
NPI Number: | 1891790804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35-05-6893-G |
Business Practice Address: | 5757 Monclova Rd Suite 10 Maumee, OH - 435371863 |
Business Phone Number: | 4198870803 |
Business Fax Number: | 4198870817 |
Mailing Address: | 3606 Greenlawn Ct, TOLEDO |
State: | OH |
Postal Code: | 436145119 |
Phone Number: | 4193858029 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2005 |
NPI Last Update Date: | 01/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35-05-6893-G |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |