Individual
GARY A JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5312 LAPEER RD, KIMBALL, MI 48074-1424
(810) 984-2693
(810) 984-2669
Mailing address
5312 LAPEER RD, KIMBALL, MI 48074-1424
(810) 984-2693
(810) 984-2669
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101012784
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4696657
—
MI
Enumeration date
12/22/2005
Last updated
01/11/2010
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