Individual
MARCIE GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12150 30 MILE RD, WASHINGTON, MI 48095-2035
(586) 752-7256
Mailing address
12150 30 MILE RD, WASHINGTON, MI 48095-2035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006695
MI
Other
Enumeration date
06/13/2013
Last updated
06/30/2015
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