Individual
JOHN GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3865 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783-9286
(906) 632-2805
Mailing address
125 N LAKE ST, MANISTIQUE, MI 49854-1234
(906) 341-2144
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704215443
MI
Other
Enumeration date
05/07/2010
Last updated
10/20/2011
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