Individual
JAMES DRISCOLL GENDERNALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2500 NILES RD STE 1, 2ND FLOOR, SAINT JOSEPH, MI 49085-3225
(269) 429-5000
Mailing address
2500 NILES RD STE 1, SAINT JOSEPH, MI 49085-3225
(269) 429-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101017990
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2007
Last updated
02/03/2016
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