Individual
MR. GABRIEL A MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(216) 701-4316
Mailing address
1709 BEAVER CREEK LN # ON, KETTERING, OH 45429-3709
(216) 701-4316
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/31/2012
Last updated
03/31/2012
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