Individual
PAUL D GAMMAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3232 CENTRAL BLVD, HUDSONVILLE, MI 49426-1439
(616) 669-2530
(616) 669-3646
Mailing address
3232 CENTRAL BLVD, HUDSONVILLE, MI 49426-1439
(616) 669-2530
(616) 669-3646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003318
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2704876
—
MI
01
—
382911868
PRIORITY HEALTH
MI
01
—
900G010150
BLUE CROSS BLUE SHIELD
MI
01
—
MI3318
EYEMED
MI
01
—
P31367F
BLUE CARE NETWORK
MI
Enumeration date
09/29/2006
Last updated
06/24/2024
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