Individual provider · Type 1 NPI

Jack Gadmer

Medical Physician Assistant · Coeur D Alene, ID

NPI number 1467743799 Active

Practice location

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA1442 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1467743799

Jack Gadmer's National Provider Identifier is 1467743799, issued on Apr 20, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Dec 2, 2016.