Individual
MR. CHRISTIAN B GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TOWNSHIP, MI 48382-2201
(248) 937-5813
Mailing address
2930 OLD ORCHARD DR, WATERFORD, MI 48328-3648
(248) 681-5207
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2423
—
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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