Individual provider · NPI-1

Gino Michael Lombardo, DO

Orthopaedic Surgery · Mount Clemens, MI

NPI number1831881465
StatusActive
Last updated in NPPESMay 23, 2023

Details

NPI
1831881465
Entity type
Individual (NPI-1)
Name
Gino Michael Lombardo
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2023
Certification date
May 23, 2023
Last updated
May 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery5151015982MIYes

Practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone 586-790-9003

Mailing address

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone 586-790-9003

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