Michael Gedestad | Fpo, AA • PECOS Search

Michael Gedestad

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr., Fpo, AA 92134

PECOS Enrollment

Based on the most recent information from CMS, provider Michael Gedestad does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1083114359
Provider Type
Individual
Full Name
Gedestad, Michael
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
2/13/2018
Last Updated
8/11/2025

Contact Information

Practice Location

34800 Bob Wilson Dr., Fpo, AA 92134

Unlisted Fax

Mailing Location

34800 Bob Wilson Dr., Fpo, AA 92134

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 0102205790 Virginia