Individual
JAMES GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8510 15 MILE RD APT G, STERLING HEIGHTS, MI 48312-3668
(586) 464-7304
Mailing address
13403 W 7 MILE RD, DETROIT, MI 48235-1387
(313) 308-2444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
5601007759
MI
Other
Enumeration date
04/25/2016
Last updated
02/16/2017
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