Individual
GARY JOHN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7073 CLYO RD, CENTERVILLE, OH 45459-4816
(937) 435-5857
(937) 912-4960
Mailing address
36115 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-07-7315-P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2243709
—
OH
Enumeration date
06/17/2005
Last updated
03/07/2023
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