Organization
JAMES A. GIBSON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENE S GIBSON (OFFICE MANAGER)
(248) 431-8592
Entity
Organization
Contact information
Practice address
5784 HIGHLAND RD, WATERFORD, MI 48327-1876
(248) 673-6667
(248) 673-7224
Mailing address
5784 HIGHLAND RD, WATERFORD, MI 48327-1876
(248) 673-6667
(248) 673-7234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301065590
MI
Other
Enumeration date
09/05/2007
Last updated
10/27/2010
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