Individual
DR. PETER GREGORY GULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5303 S CEDAR ST, LANSING, MI 48911-3800
(517) 887-4302
(517) 887-4437
Mailing address
5303 S CEDAR ST, LANSING, MI 48911-3800
(517) 887-4302
(517) 887-4437
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101009127
MI
207RI0200X
Infectious Disease Physician
Primary
5101009127
MI
207RX0202X
Medical Oncology Physician
5101009127
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255383238
—
MI
05
—
4460789
—
MI
Enumeration date
05/17/2006
Last updated
04/08/2021
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