Individual
GAYLE KEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E LONG LAKE RD, TROY, MI 48085-5524
(248) 828-7500
(248) 813-6511
Mailing address
115 E LONG LAKE RD, TROY, MI 48085-5524
(248) 828-7500
(248) 813-6511
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/11/2008
Last updated
05/03/2011
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