Individual
DR. MICHAEL S GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4868 BRIDGE RD, SUFFOLK, VA 23435-2048
(757) 483-7198
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101040033
VA
207P00000X
Emergency Medicine Physician
19899
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235210469
—
NC
Enumeration date
10/17/2006
Last updated
02/01/2022
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