Gambel, Michael Lawrence
Gambel, Michael Lawrence is an sole proprietor health care provider with primary practice located at 12100 Dix Toledo Rd , Southgate MI 48195-3531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gambel, Michael Lawrence can be contacted via phone (734) 282-5502.Contact Information
Primary practice address
12100 Dix Toledo Rd
Southgate MI 48195-3531
Phone: (734) 282-5502
Fax: (734) 282-7106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301042047 | Michigan |
Profile Details
| NPI number | 1770585580 |
|---|---|
| LBN Legal business name | Gambel, Michael Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Dec 22nd, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770585580 | NPPES |
| Michigan | MEDICAID | 3162773 |
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