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Individual

DR. GINO R SESSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3535 W 13 MILE RD, STE 437, ROYAL OAK, MI 48073
(248) 288-2210
(248) 280-0505
Mailing address
3535 W 13 MILE RD, STE 437, ROYAL OAK, MI 48073
(248) 288-2210
(248) 280-0505

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301064088
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0767220001
ADMINISTAR FEDERAL
MI
01
0F31114
BCBS
MI
01
0F33583
BCBC DME
MI
05
3476200
MI
05
4424423
MI
Enumeration date
11/16/2005
Last updated
01/12/2010
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