Individual
MICHELLE GAMBINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, AT, ATC
Contact information
Practice address
29300 W 11 MILE RD, FARMINGTON HILLS, MI 48336-1409
(313) 623-1439
Mailing address
29300 W 11 MILE RD, FARMINGTON HILLS, MI 48336-1409
(313) 623-1439
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001451
MI
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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