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GARY EDELMAN MD
NPI 1417977430
Surgery in Waupaca, WI

Active since July 20, 2006
902 RIVERSIDE DR, WAUPACA, WI 54981(715) 258-1160(715) 256-3079 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Edelman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY EDELMAN MD (NPI 1417977430) is an individual surgery provider in Waupaca, Wisconsin, licensed in Wisconsin (30386) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417977430
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameGARY EDELMANCredential: MD
Location Address902 RIVERSIDE DRWaupaca, WI 54981-1992
Mailing Address710 Riverside DrWaupaca, WI 54981-1941 · (715) 256-3000
Phone(715) 258-1160
Fax(715) 256-3079
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateJanuary 26, 2012
✔ NPI 1417977430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 30386
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
902 RIVERSIDE DR, Waupaca, WI 54981
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Other Identifiers 4

Medicaid34265900WI
Medicare UPING06205
Other020052618WI · Railroad Medicare
Other002469010WI · Medicare Ptan

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE A ANGSTEN LPC-T
Counselor
902 RIVERSIDE DR, SUITE 204
WAUPACA, WI 54981
Waupaca County (715) 256-1475
MRS. MELISSA A HABECK
Social Worker (Clinical)
902 RIVERSIDE DR, SUITE 204
WAUPACA, WI 54981
Waupaca County (715) 256-1475
ZACHARY DONALD KOEPKE DPT
Physical Therapist
902 RIVERSIDE DR, PHYSICAL THERAPY
WAUPACA, WI 54981
Waupaca County (715) 258-1053
JOSEPH KUCHLER APNP
Nurse Practitioner
902 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (920) 831-5050
MRS. DEBRA KAY SKYRMS NCC LPC
Counselor (Professional)
902 RIVERSIDE DR, SUITE 204
WAUPACA, WI 54981
Waupaca County (715) 256-1475
PATRICIA TONEY
Counselor
902 RIVERSIDE DR, SUITE 204
WAUPACA, WI 54981
Waupaca County (715) 256-1475
INEZ TRANTOW
Counselor (Mental Health)
902 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 256-1475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Edelman's NPI number?

The NPI number for Gary Edelman is 1417977430. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Gary Edelman located?

Gary Edelman practices at 902 Riverside Dr, Waupaca, WI 54981. The listed phone number is (715) 258-1160.

What is Gary Edelman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Gary Edelman was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.