Provider Demographics
NPI:1124048822
Name:GAWLIK, DAVID STEPHEN (PA-C, MS)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:STEPHEN
Last Name:GAWLIK
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Gender:M
Credentials:PA-C, MS
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Mailing Address - Street 1:354 MOUNTAIN VIEW DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-5968
Mailing Address - Country:US
Mailing Address - Phone:802-864-0192
Mailing Address - Fax:802-860-4919
Practice Address - Street 1:354 MOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 300
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-5968
Practice Address - Country:US
Practice Address - Phone:802-864-0192
Practice Address - Fax:802-860-4919
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-09-08
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Provider Licenses
StateLicense IDTaxonomies
VT0550030787363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical