Provider Demographics
NPI:1548225592
Name:GADBAW, BRIAN C (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:C
Last Name:GADBAW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF WISCONSIN HOSPITAL
Mailing Address - Street 2:600 HIGHLAND AVE. ROOM H4/831-8320
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:608-890-7127
Practice Address - Street 1:UNIVERSITY OF WISCONSIN HOSPITAL
Practice Address - Street 2:600 HIGHLAND AVE. ROOM H4/831-8320
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-0001
Practice Address - Country:US
Practice Address - Phone:608-263-0572
Practice Address - Fax:608-890-7127
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI48727208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics