Organization
DRS GILMORE LACIVITA & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENN GILMORE (PRESIDENT)
(248) 926-6673
Entity
Organization
Contact information
Practice address
39525 W 14 MILE RD, STE 101, NOVI, MI 48377
(248) 926-6673
(248) 926-6683
Mailing address
39525 W 14 MILE RD, STE 101, NOVI, MI 48377
(248) 926-6673
(248) 926-6683
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
10/03/2007
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