Organization
GANKA SPASSOVA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANKA SPASSOVA MD (SOLE MEMBER)
(734) 284-6338
Entity
Organization
Contact information
Practice address
1307 FORD AVE, WYANDOTTE, MI 48192-3823
(734) 284-6338
(734) 282-7390
Mailing address
18770 FARMINGTON RD, SUITE 100, LIVONIA, MI 48152-3292
(734) 284-6338
(734) 293-0985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2012
Last updated
01/13/2017
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