Provider Demographics
NPI:1043378045
Name:GAEDE, DON HAROLD (MD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:HAROLD
Last Name:GAEDE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7191 N MILLBROOK AVE
Mailing Address - Street 2:STE. 115
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3365
Mailing Address - Country:US
Mailing Address - Phone:559-261-0266
Mailing Address - Fax:
Practice Address - Street 1:7191 N MILLBROOK AVE
Practice Address - Street 2:STE. 115
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3365
Practice Address - Country:US
Practice Address - Phone:559-261-0266
Practice Address - Fax:559-261-1307
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG35060207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA46202Medicare UPIN
CA00G350600Medicare ID - Type Unspecified