Organization
FAMILY PHYSICIANS-DR PHILLIP J GACA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULINE ANN REYNOLDS (OFFICE MANAGER)
(616) 365-7614
Entity
Organization
Contact information
Practice address
6265 WEST RIVER DR NE, BELMONT, MI 49306-9078
(616) 365-7614
Mailing address
6265 WEST RIVER DR NE, BELMONT, MI 49306-9078
(616) 365-7614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007882
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3018321
—
MI
Enumeration date
01/16/2008
Last updated
06/07/2013
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