Katz, Gary R

Katz, Gary R is an individual health care provider with primary practice located at 27483 Dequindre Rd Suite 301, Madison Hts MI 48071-3491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Katz, Gary R can be contacted via phone (248) 546-2600.

Contact Information

Primary practice address
27483 Dequindre Rd Suite 301 Madison Hts MI 48071-3491
Fax: (248) 546-2604
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101011790 Michigan

Profile Details

NPI number 1255329355
LBN Legal business name Katz, Gary R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Dec 11th, 2018 - about 7 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 1255329355 NPPES
Michigan MEDICAID 1255329355

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