Individual provider · Type 1 NPI
Theodore John Gozdzialski, RN
General Practice Registered Nurse · Waterford, MI
NPI number
1700010840
Active
Practice location
5062 Ironside Dr
Waterford, MI 48329-1637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 4704106174 (MI) |
General Practice Registered Nurse: Definition to come...
Other general practice registered nurse providers in Waterford
About NPI 1700010840
Theodore John Gozdzialski, RN's National Provider Identifier is 1700010840, issued on May 4, 2009. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Waterford, MI. The record was last updated on May 4, 2009.