Individual
GABRIEL TAKUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1588 DRAYTON CT, PORTAGE, MI 49002-7293
(269) 779-6415
Mailing address
1588 DRAYTON CT, PORTAGE, MI 49002-7293
(269) 779-6415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704281691
MI
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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