Individual
RAISA R GAO-GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-4600
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
104560
GA
390200000X
Student in an Organized Health Care Education/Training Program
5151014595
MI
Other
Enumeration date
05/04/2020
Last updated
05/20/2025
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