Individual
DR. IAN GACKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
120 E LIBERTY ST STE 300D, ANN ARBOR, MI 48104-2163
(269) 370-1868
Mailing address
2180 ARBOR CIR W APT 108, YPSILANTI, MI 48197-3450
(269) 370-1868
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301017272
MI
Other
Enumeration date
01/04/2019
Last updated
02/10/2019
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