Individual
DR. GINA GORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6900 ORCHARD LAKE RD STE 100, WEST BLOOMFIELD, MI 48322-3424
(248) 855-4134
Mailing address
3347 WORMER DR., WATERFORD, MI 48329
(248) 872-1526
(248) 673-6068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301066415
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
4301066415
MI
208VP0000X
Pain Medicine Physician
4301066415
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301066415
CONTROLLED SUBSTANCE
MI
05
—
454929510
—
MI
Enumeration date
06/16/2005
Last updated
03/07/2023
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