Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore John Gozdzialski, RN

Individual provider General Practice Registered Nurse · NPI 1700010840

Theodore John Gozdzialski, RN is a General Practice Registered Nurse in Waterford, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

5062 Ironside Dr
Waterford, MI 48329-1637
Phone: (248) 623-2615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 4704106174 (MI)

Record details

NPI number1700010840
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedMay 4, 2009
Last updated in NPPESMay 4, 2009

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