| Gina Gora M D Pllc | |
|
3347 Wormer Dr Waterford MI 48329-2569 | |
| (248) 872-1526 | |
| Not Available |
| Full Name | Gina Gora M D Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3347 Wormer Dr, Waterford, Michigan |
| Authorized Official Name and Position | Gina Gora (OWNER) |
| Authorized Official Contact | 2488721526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Gora M D Pllc 3347 Wormer Dr Waterford MI 48329-2569 Ph: (248) 872-1526 | Gina Gora M D Pllc 3347 Wormer Dr Waterford MI 48329-2569 Ph: (248) 872-1526 |
| NPI Number | 1720330392 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 10/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720330392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301066415 (Michigan) | Primary |
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