Individual
MICHAEL GORSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2425 W UNIVERSITY BLVD STE 100, DURANT, OK 74701-2970
(580) 924-7331
(580) 924-7332
Mailing address
2425 W UNIVERSITY BLVD STE 100, DURANT, OK 74701-2970
(580) 924-7331
(580) 924-7332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728830
—
OK
Enumeration date
05/06/2020
Last updated
10/07/2022
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