Individual
EDWARD A GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 W WHEATON AVE, CLARE, MI 48617-1250
(616) 490-1985
Mailing address
307 W WHEATON AVE, CLARE, MI 48617-1250
(616) 490-1985
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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