Marsiglia, Gary L

Marsiglia, Gary L is an individual health care provider with primary practice located at 1471 Grace St Se , Grand Rapids MI 49506-1678. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Marsiglia, Gary L can be contacted via phone (616) 913-2011.

Contact Information

Primary practice address
1471 Grace St Se Grand Rapids MI 49506-1678
Phone: (616) 913-2011
Fax: (616) 913-2005
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101007137 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 5101006361 Michigan

Profile Details

NPI number 1487618666
LBN Legal business name Marsiglia, Gary L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Dec 5th, 2017 - 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 1487618666 NPPES
Michigan MEDICAID 1487618666

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