National Provider Identifier
Donald E Gullickson II, D.O.
Donald E Gullickson II, D.O. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 874-2150.
Profile Overview
- NPI
- 1124080056
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 05, 2006
- Last Updated
- July 21, 2011
Practice Location
- 1783 Colvin Blvd
- Buffalo, NY 14223-1107
Phone: (716) 874-2150
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1124080056
- Entity Type
- Individual
- Last Name
- Gullickson
- First Name
- Donald
- Middle Name
- E
- Name Suffix
- II
- Credential
- D.O.
- Mailing Street Address
- 1783 Colvin Blvd
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14223-1107
- Mailing Country
- US
- Mailing Phone
- (716) 874-2150
- Mailing Fax
- (716) 874-6765
- Practice Street Address
- 1783 Colvin Blvd
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14223-1107
- Practice Country
- US
- Practice Phone
- (716) 874-2150
- Practice Fax
- (716) 874-6765
- Enumeration Date
- April 05, 2006
- Last Updated
- July 21, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 1295587 (NY)