Individual
ABRAHAM ISAIAS GOMEZ HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29201 TELEGRAPH RD, STE 324, SOUTHFIELD, MI 48034-1331
(248) 357-5100
(248) 357-2548
Mailing address
29201 TELEGRAPH RD, STE 324, SOUTHFIELD, MI 48034-1331
(248) 357-5100
(248) 357-2548
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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