Individual
ROLAND H GAINES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
14140 SHAMROCK DR, REDFORD, MI 48239-2995
(313) 858-1246
Mailing address
14140 SHAMROCK DR, REDFORD, MI 48239-2995
(313) 858-1246
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704237964
MI
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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