Individual
MR. CHRISTOPHER F GORTAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2650
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029033
MI
Other
Enumeration date
05/21/2006
Last updated
07/08/2007
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