Individual
DR. DENISE ELAINE GAVORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
455 BARCLAY CIR, SUITE D, ROCHESTER HILLS, MI 48307-4774
(248) 852-9596
(248) 852-9453
Mailing address
455 BARCLAY CIR, SUITE D, ROCHESTER HILLS, MI 48307-4774
(248) 852-9596
(248) 852-9453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101017575
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080F326810
BLUE CROSS BLUE SHIELD OF MICHIGAN GROUP
MI
01
—
5632330
BCBSM PERSONAL
MI
Enumeration date
06/17/2008
Last updated
05/02/2012
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