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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942247689 NPPES
Michigan MEDICAID 1942247689
Michigan MEDICAID 113166549
Michigan Other MG008280
Michigan MEDICAID 112881665

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