Individual
GARY EDWARD HOSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
64177 VAN DYKE RD, WASHINGTON, MI 48095-2580
(586) 752-5770
(586) 752-5771
Mailing address
64177 VAN DYKE RD, WASHINGTON, MI 48095-2580
(810) 329-0800
(810) 329-6543
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901001469
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001469
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184890311
NPI TYPE 2
MI
01
—
14076973234
NPI TYPE 1
MI
05
—
2755490
—
MI
01
—
MI5095
PTAN ORGANIZATION
MI
01
—
MI5095001
PTAN INDIVIDUAL
MI
Enumeration date
08/25/2006
Last updated
01/30/2012
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