Individual
DALE ANTHONY GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 W UNIVERSITY DR, ROCHESTER, MI 48307
(248) 652-5000
Mailing address
441 S LIVERNOIS, STE 190, ROCHESTER, MI 48307
(248) 656-9696
(248) 656-5731
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301054758
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10369895
—
MI
Enumeration date
01/25/2006
Last updated
09/27/2012
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