Individual
GORDON KALO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HEMLOCK ST, TAWAS CITY, MI 48763-9237
(989) 362-0153
(989) 362-4683
Mailing address
2393 SCHUST RD, SAGINAW, MI 48603-1334
(989) 793-2820
(989) 755-1463
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704120512
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4096233
—
MI
05
—
C56007027
—
MI
Enumeration date
12/05/2005
Last updated
02/28/2018
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