Individual
DR. GARY GAZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8555 N SILVERY LN, SUITE C302, DEARBORN HEIGHTS, MI 48127-1379
(313) 561-0550
(313) 561-3646
Mailing address
8555 N SILVERY LN, SUITE C302, DEARBORN HEIGHTS, MI 48127-1379
(313) 561-0550
(313) 561-3646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GG034127
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125090
CARE CHOICES
MI
05
—
4492586
—
MI
01
—
5395145
AETNA
MI
01
—
A77142
HAP
MI
Enumeration date
07/15/2005
Last updated
10/16/2007
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