Individual
MICHELLE MARIE GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DRIVE, DEPT OF ORTHOPEDICS, SAN DIEGO, CA 92134-0001
(203) 640-5521
Mailing address
34800 BOB WILSON DRIVE, DEPT OF ORTHOPEDICS, SAN DIEGO, CA 92134-0001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R4776
TX
207XX0801X
Orthopaedic Trauma Physician
Primary
A-174126
CA
Other
Enumeration date
06/10/2013
Last updated
05/03/2023
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