Individual
GARY R KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6379 SILVER LAKE RD, LINDEN, MI 48451-8706
(810) 735-7847
(810) 735-7840
Mailing address
6379 SILVER LAKE RD, LINDEN, MI 48451-8706
(810) 735-7847
(810) 735-7159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301045957
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3235619
—
MI
Enumeration date
09/02/2006
Last updated
11/20/2011
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