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Organization

GARY W DOCKS DPM PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY W DOCKS DPM (PHYSICIAN)
(248) 646-5209
Entity
Organization

Contact information

Practice address
18810 BEVERLY RD, BEVERLY HILLS, MI 48025-4014
(248) 646-5209
(248) 203-6927
Mailing address
18810 BEVERLY RD, BEVERLY HILLS, MI 48025-4014
(248) 646-5209
(248) 203-6927

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
GW000785
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4856312950
BCBSM
MI
01
GD000785
LICENSE
MI
Enumeration date
01/14/2008
Last updated
01/14/2008
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