Individual
SAMUEL BRYON GARGULINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
35514 INDIGO DR, STERLING HEIGHTS, MI 48310-4946
(586) 212-2671
Mailing address
669 VILLA DR, YPSILANTI, MI 48198-3511
(586) 292-1242
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
64267
MI
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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