Individual
EDWARD GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1500 BYRON RD, HOWELL, MI 48855-6772
(517) 552-9323
Mailing address
1500 BYRON RD, HOWELL, MI 48855-6772
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
4703117803
MI
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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