Individual
DR. DAVID ROBERT GENDERNALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29260 FRANKLIN RD, SUITE 121, SOUTHFIELD, MI 48034-1161
(248) 355-4300
(248) 355-4393
Mailing address
5096 BAYSIDE DR, TROY, MI 48098-2702
(248) 641-8717
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301033160
MI
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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