Individual
DR. GUNJAN GHOLKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2122 HEALTH DR SW STE 133, WYOMING, MI 49519-9698
(616) 252-5950
(616) 252-5956
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
390200200000X
CT
207R00000X
Internal Medicine Physician
4301104501
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301104501
MI
Other
Enumeration date
07/29/2011
Last updated
03/17/2018
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