Individual
MR. GARY GIRARD ERRIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
17515 W NINE MILE ROAD, SUITE 340, SOUTHFIELD, MI 48075
(248) 569-2695
(248) 569-7250
Mailing address
208 N MELBORN, DEARBORN, MI 48128
(313) 561-8779
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601002523
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P06370003
MEDICARE
MI
01
—
0P06380003
MEDICARE
MI
01
—
700F312990
BCBS ID
MI
Enumeration date
03/01/2006
Last updated
05/28/2008
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