Individual
IAN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 COOPER AVE STE 1100, SAGINAW, MI 48602-5383
(989) 583-2720
(989) 583-1888
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-7135
(616) 840-9690
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301105287
MI
208100000X
Physical Medicine & Rehabilitation Physician
L241021
MI
Other
Enumeration date
05/13/2014
Last updated
01/31/2024
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