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Organization

ROBERT I GANS, M.D. PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY PATRICIA ARNETT (BILLER)
(248) 557-1812
Entity
Organization

Contact information

Practice address
26615 GREENFIELD RD, SOUTHFIELD, MI 48076-7201
(248) 557-1070
(248) 557-4984
Mailing address
26615 GREENFIELD RD, SOUTHFIELD, MI 48076-7201
(248) 557-1070
(248) 557-4984

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
022712
MI
261QM2500X
Medical Specialty Clinic/Center
022712
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3475446
MI
05
3475464
MI
Enumeration date
06/19/2008
Last updated
06/19/2008
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