Individual
MARY ADELINE GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 988-8220
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5315226337
MI
Other
Enumeration date
07/20/2020
Last updated
07/31/2024
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