Individual
GJERGJ GEORGE JUNCAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
1633 COLONY DR, ROCHESTER HILLS, MI 48307-3407
(586) 994-9945
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704297541
MI
Other
Enumeration date
09/26/2020
Last updated
11/17/2022
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