Organization
CAPITAL MEDICAL ASSOC. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERALD STUART GACH D.O. (PRESIDENT)
(248) 851-2083
Entity
Organization
Contact information
Practice address
5385 TERENCE CT, BLOOMFIELD HILLS, MI 48302-2555
(248) 851-2083
(248) 855-2130
Mailing address
5385 TERENCE CT, BLOOMFIELD HILLS, MI 48302-2555
(248) 851-2083
(248) 855-2130
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
JG005927
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055632430
BLUE CROSS
MA
Enumeration date
09/28/2006
Last updated
02/28/2013
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