Gulow, Mark
Gulow, Mark is an sole proprietor health care provider with primary practice located at 30581 Stephenson Hwy , Madison Heights MI 48071-1610. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gulow, Mark can be contacted via phone (248) 589-1770.Contact Information
Primary practice address
30581 Stephenson Hwy
Madison Heights MI 48071-1610
Phone: (248) 589-1770
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 5101008280 | Michigan |
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 008280 | Michigan |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 5101008280 | Michigan |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101008280 | Michigan |
Profile Details
NPI number | 1942247689 |
---|---|
LBN Legal business name | Gulow, Mark |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 1st, 2006 |
Last updated | Nov 9th, 2021 - about 3 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 | 1942247689 | NPPES |
Michigan | MEDICAID | 1942247689 | |
Michigan | MEDICAID | 113166549 | |
Michigan | Other | MG008280 | |
Michigan | MEDICAID | 112881665 |
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