Individual
GILBERT WAYNE POMEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
27600 FARMINGTON RD STE 107, FARMINGTON HILLS, MI 48334-3364
(313) 724-3111
(248) 294-1174
Mailing address
232 CHERRY ST, MILAN, MI 48160-1018
(734) 309-0307
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
4704156269
MI
363L00000X
Nurse Practitioner
Primary
4704156269
MI
Other
Enumeration date
02/08/2008
Last updated
03/04/2024
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