Individual
DR. MICHAEL JOHN GELSOMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
242 KING AVENUE, SUITE 130, ATHENS, GA 30606
(706) 475-1870
Mailing address
7610B W IRVING PARK RD, NORRIDGE, IL 60706-2106
(708) 790-6453
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
84668
GA
Other
Enumeration date
03/25/2013
Last updated
08/06/2020
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