Organization
ARBOR LANE FAMILY PHYSICIANS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY GAZELLA MD (OWNER/PHYSICIAN)
(313) 561-0550
Entity
Organization
Contact information
Practice address
8555 N SILVERY LN, SUITE C302, DEARBORN HEIGHTS, MI 48127-1379
(313) 561-0550
(313) 561-3646
Mailing address
8555 N SILVERY LN, SUITE C302, DEARBORN HEIGHTS, MI 48127-1379
(313) 561-0550
(313) 561-3646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GG034127
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4492586
—
MI
05
—
4492601
—
MI
Enumeration date
07/15/2005
Last updated
04/07/2008
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