Individual
ETHAN GILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
27555 MIDDLEBELT RD., FAMINGTON HILLS, MI 48334
(248) 478-5512
(245) 478-5350
Mailing address
27555 MIDDLEBELT RD., FAMINGTON HILLS, MI 48334
(248) 478-5512
(245) 478-5350
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
34.016018
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306635
—
OH
Enumeration date
05/10/2018
Last updated
07/24/2023
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