Individual
MICHAEL G GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22201 MOROSS RD STE 50, DETROIT, MI 48236-2166
(313) 343-7774
(313) 343-8747
Mailing address
22201 MOROSS RD STE 50, DETROIT, MI 48236-2166
(313) 343-7774
(313) 343-8747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301506510
MI
Other
Enumeration date
04/10/2019
Last updated
06/15/2022
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