Individual
GERARDO OCTAVIO INFANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5635 W FORT ST, DETROIT, MI 48209-3154
(313) 849-3920
(313) 849-0824
Mailing address
1600 GARFIELD AVE, LINCOLN PARK, MI 48146-2308
(313) 849-3920
(313) 849-0824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704320242
MI
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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