Individual
MIRSIDA GEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49970 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-1347
(991) 659-6596
(248) 712-4381
Mailing address
49970 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-1347
(991) 659-6596
(248) 712-4381
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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