Individual
GEORGE JOHN GUGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1941 GATES ST, REESE, MI 48757-9555
(989) 868-4197
(989) 868-3770
Mailing address
PO BOX 394, 1941 GATES ST, REESE, MI 48757-0394
(989) 868-4197
(989) 868-3770
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
GG024883
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1392012
—
MI
Enumeration date
05/01/2006
Last updated
01/25/2012
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