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Individual
MICHAEL THOMAS GIBBONS
Active
Individual
MICHAEL THOMAS GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LL52673
SC
2086S0129X
Vascular Surgery Physician
Primary
95312
SC
Other
Enumeration date
06/14/2018
Last updated
09/09/2025
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