Individual
GYPSA KATOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 SAINT ANTOINE ST STE 5B, DETROIT, MI 48201-2153
(313) 745-1741
(313) 745-8165
Mailing address
4201 SAINT ANTOINE ST # 5B, DETROIT, MI 48201-2153
(313) 745-1741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301500191
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301110120
MI STATE LICENSE
MI
Enumeration date
07/18/2016
Last updated
01/18/2024
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