Individual
DR. LISA RENE GNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5820 N CANTON CENTER RD STE 181, CANTON, MI 48187-2651
(877) 882-4800
Mailing address
5820 N CANTON CENTER RD STE 181, CANTON, MI 48187-2651
(877) 882-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101013946
MI
208D00000X
General Practice Physician
Primary
5101013946
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101013946
MICHIGAN LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
06/06/2008
Last updated
10/03/2023
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