Individual
GWENDOLYN WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29255 NORTHWESTERN HWY, STE 105, SOUTHFIELD, MI 48034
(248) 350-8890
(348) 350-8894
Mailing address
29255 NORTHWESTERN HWY, STE 105, SOUTHFIELD, MI 48034
(248) 350-8890
(348) 350-8894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301036434
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103295
—
MI
Enumeration date
09/20/2006
Last updated
07/08/2007
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