Gosselin, Marc Oliver

Gosselin, Marc Oliver is an individual health care provider with primary practice located at 24211 Little Mack Ave , St Clair Shores MI 48080-1190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gosselin, Marc Oliver can be contacted via phone (586) 498-0440.

Contact Information

Primary practice address
24211 Little Mack Ave St Clair Shores MI 48080-1190
Phone: (586) 498-0440
Fax: (586) 498-0401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5101010983 Michigan

Profile Details

NPI number 1508814989
LBN Legal business name Gosselin, Marc Oliver
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Dec 1st, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508814989 NPPES
Michigan MEDICAID 3474289
Michigan Other 11

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