Individual
JAMES K GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
74 HERON DR NW APT 203I, GRAND RAPIDS, MI 49534-1627
(231) 833-0569
Mailing address
74 HERON DR NW APT 203I, GRAND RAPIDS, MI 49534-1627
(231) 833-0569
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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