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Individual

DR. JOHN J GORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3643 W FRONT ST, SUITE C, TRAVERSE CITY, MI 49684-7759
(231) 935-0614
(231) 935-0832
Mailing address
3643 W FRONT ST, SUITE C, TRAVERSE CITY, MI 49684-7759
(231) 935-0614
(231) 935-0832

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4304077817
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104728394
MI
Enumeration date
08/19/2005
Last updated
12/18/2020
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