Individual
MR. CALEB GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
48343 JEROME DR, SHELBY TWP, MI 48315-4045
(586) 382-5514
(586) 739-9037
Mailing address
48343 JEROME DR, SHELBY TWP, MI 48315-4045
(586) 382-5514
(586) 739-9037
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G125108734572
MI
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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