Provider Demographics
NPI:1578567327
Name:DRESLINSKI, GERALD R (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:R
Last Name:DRESLINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:820 BYRON RD
Mailing Address - Street 2:STE 200
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-1024
Mailing Address - Country:US
Mailing Address - Phone:517-548-1246
Mailing Address - Fax:517-548-9164
Practice Address - Street 1:820 BYRON RD
Practice Address - Street 2:STE 200
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-1024
Practice Address - Country:US
Practice Address - Phone:517-548-1246
Practice Address - Fax:517-548-9164
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIGD052376207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104640830Medicaid
MION97790 001Medicare ID - Type Unspecified
MIB48202Medicare UPIN