Organization
GINA GORA M D PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA GORA M.D. (OWNER)
(248) 872-1526
Entity
Organization
Contact information
Practice address
3347 WORMER DR, WATERFORD, MI 48329-2569
(248) 872-1526
Mailing address
3347 WORMER DR, WATERFORD, MI 48329-2569
(248) 872-1526
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301066415
MI
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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