Gadson Clinic

NPI #1528059250 in Quincy, Illinois

Provider Information

NPI Number: 1528059250
Entity Type: Organization
Organization Name: Gadson Clinic
Primary Specialty: Specialist
Enumeration Date: Nov 2, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1622 BROADWAY ST
City: Quincy
State: Illinois
ZIP Code: 62301-2817
Phone: (217) 223-7911

Authorized Official

Name: MR. MICHAEL THOMAS GADSON, MD
Title: OWNER
Phone: (217) 223-7911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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