Organization
DEGARA GARDEN CITY APP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SOMERBY (VICE PRESIDENT)
(904) 346-3088
Entity
Organization
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3300
(904) 559-4370
Mailing address
PO BOX 4458, DEPT # 212, HOUSTON, TX 77210-4458
(866) 434-3164
(904) 559-4370
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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