Ginette Gomez, D.O.
Internal Medicine, Cardiovascular Disease in St.Clair Shores, MI. Individual provider (NPI-1).
NPI number1104840271
StatusActive
Last updated in NPPESFeb 27, 2009
Details
- NPI
- 1104840271
- Entity type
- Individual (NPI-1)
- Name
- Ginette Gomez
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2006
- Last updated
- Feb 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 5101014609 | MI | Yes |
Practice location
25631 Little Mack AveSt.Clair Shores, MI 48080
Phone 248-423-2410 · Fax 586-443-2940
Mailing address
3601 W. 13 Mile Road400 Fsc/ Pcs
Royal Oak, MI 48073-6769
Phone 248-423-2410 · Fax 586-443-2940
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