Individual
CARY A GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 LUDINGTON ST, ESCANABA, MI 49829-1300
(906) 226-9127
Mailing address
2837 US HIGHWAY 41 W, MARQUETTE, MI 49855-2252
(906) 225-3964
(906) 226-3875
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301406387
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220520070
BLUE CROSS BLUE SHIELD MI
MI
05
—
4194270
—
MI
Enumeration date
02/07/2006
Last updated
10/18/2007
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