National Provider Identifier
Michael Jeffrey Gandt, PA-C
Michael Jeffrey Gandt, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Cheektowaga, NY and a listed phone number of (716) 341-9367.
Profile Overview
- NPI
- 1164997193
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 05, 2018
- Last Updated
- October 05, 2018
Practice Location
- 861 George Urban Blvd
- Cheektowaga, NY 14225-4203
Phone: (716) 341-9367
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1164997193
- Entity Type
- Individual
- Last Name
- Gandt
- First Name
- Michael
- Middle Name
- Jeffrey
- Credential
- PA-C
- Mailing Street Address
- 861 George Urban Blvd
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-4203
- Mailing Country
- US
- Mailing Phone
- (716) 341-9367
- Practice Street Address
- 861 George Urban Blvd
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-4203
- Practice Country
- US
- Practice Phone
- (716) 341-9367
- Enumeration Date
- October 05, 2018
- Last Updated
- October 05, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)