Individual
DR. GARY T ROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
G-3375 S. SAGINAW ST., BURTON, MI 48529
(810) 743-6830
(810) 743-7086
Mailing address
225 E 5TH ST, SUITE 300, FLINT, MI 48502-1641
(810) 406-4246
(810) 424-6029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301045407
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080095915
METRAHEALTH
MI
01
—
0802532881
BLUE CROSS BLUE SHIELD
MI
01
—
080D410020
BLUE CROSS BLUE SHIELD
MA
01
—
080D410020
COMMUNITY BLUE
MI
01
—
1919555001
CIGNA
MI
01
—
2032240
HEALTH PLUS
MI
01
—
204391
MCLAREN HEALTH PLAN
MI
05
—
3302570
—
MI
01
—
4378496
AETNA
MI
05
—
4974960
—
MI
01
—
B48439
HEALTH ALLIANCE PLAN
MI
01
—
C2387
MCARE
MI
Enumeration date
10/31/2005
Last updated
01/08/2021
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