Individual
DR. JASON D GUMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 421-3300
Mailing address
8266 LAKE PINE DR, COMMERCE TOWNSHIP, MI 48382-4527
(248) 939-7117
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101017228
MI
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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