Individual
GABRIEL ANGELO DEVIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-8779
(231) 737-1335
Mailing address
1675 LEAHY ST STE 315A, MUSKEGON, MI 49442-5543
(231) 727-5209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151014223
MI
Other
Enumeration date
03/27/2020
Last updated
06/26/2023
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