| Roger C. Gietzen, M.d., P.c. | |
|
3630b Thornville Rd Metamora MI 48455-9399 | |
| (586) 838-0404 | |
| Not Available |
| Full Name | Roger C. Gietzen, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3630b Thornville Rd, Metamora, Michigan |
| Authorized Official Name and Position | Roger Curtis Gietzen (PRESIDENT) |
| Authorized Official Contact | 5868380404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger C. Gietzen, M.d., P.c. 3630b Thornville Rd Metamora MI 48455-9399 Ph: (586) 838-0404 | Roger C. Gietzen, M.d., P.c. 3630b Thornville Rd Metamora MI 48455-9399 Ph: (586) 838-0404 |
| NPI Number | 1588695993 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588695993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301078507 (Michigan) | Primary |
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