Individual
RICK GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 781-4271
Mailing address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 781-4271
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704106894
MI
Other
Enumeration date
09/22/2006
Last updated
12/05/2014
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