Gaston, David Lee

Gaston, David Lee is an individual health care provider with primary practice located at 28075 Ranchwood Dr , Southfield MI 48076-2401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gaston, David Lee can be contacted via phone (248) 559-8737.

Contact Information

Primary practice address
28075 Ranchwood Dr Southfield MI 48076-2401
Phone: (248) 559-8737
Fax: (248) 559-7283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 786 Wisconsin
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301050339 Michigan

Profile Details

NPI number 1811000227
LBN Legal business name Gaston, David Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated May 30th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811000227 NPPES
Michigan Other P00792362 RAILROAD MEDICARE

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