Individual
DR. GARY DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22101 MOROSS RD, PB2 SUITE 50, DETROIT, MI 48236-2148
(313) 343-7774
Mailing address
22101 MOROSS RD, PB2 SUITE 50, DETROIT, MI 48236-2148
(313) 343-7774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301099476
MI
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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