# GEORGE J GUGINO MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841525086
- **Authorized official:** GEORGE J GUGINO MD (MD OWNER)
- **Authorized official phone:** (989) 868-4197

## Contact information

- **Practice address:** 1941 GATES ST, REESE, MI 48757-9555
- **Practice address phone:** (989) 868-4197
- **Practice address fax:** (989) 868-3770
- **Mailing address:** 1941 GATES ST, PO BOX 394, REESE, MI 48757-9555
- **Mailing address phone:** (989) 868-4197
- **Mailing address fax:** (989) 868-3770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | GG024883 | MI | Yes |

## Other

- **Enumeration date:** 10/06/2009
- **Last updated:** 01/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1392012 | — | MI |