Individual
JOSEPH GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1888
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301103399
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301103399
MI
Other
Enumeration date
04/02/2013
Last updated
05/12/2021
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