Individual
GERALD SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15348 RICHMOND ST, SOUTHGATE, MI 48195-3257
(734) 771-0502
Mailing address
15348 RICHMOND ST, SOUTHGATE, MI 48195-3257
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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