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Individual

MS. ROSEMARIE GILBERT IX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19321 GREENFIELD RD, DETROIT, MI 48235-2004
(313) 586-2618
Mailing address
2434 CHICAGO BLVD, DETROIT, MI 48206-1741
(313) 790-3126

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
727960
MI
Enumeration date
07/08/2017
Last updated
07/08/2017
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