Gonzales, Dale Anthony
Gonzales, Dale Anthony is an individual health care provider with primary practice located at 1101 W University Dr , Rochester MI 48307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gonzales, Dale Anthony can be contacted via phone (248) 652-5000.Contact Information
Primary practice address
1101 W University Dr
Rochester MI 48307
Phone: (248) 652-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301054758 | Michigan |
Profile Details
| NPI number | 1306816020 |
|---|---|
| LBN Legal business name | Gonzales, Dale Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Sep 27th, 2012 - about 12 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 | 1306816020 | NPPES |
| Michigan | MEDICAID | 10369895 |
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