Individual
ANDREW CHARLES GORECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3899 W FRONT ST, UNIT 3, TRAVERSE CITY, MI 49684-8103
(231) 932-9014
(231) 932-9034
Mailing address
4000 EASTERN SKY DR STE 6, TRAVERSE CITY, MI 49684-7351
(231) 932-9014
(231) 932-9034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014611
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B81315
BLUE CROSS BLUE SHIELD MI
MI
05
—
4797005
—
MI
Enumeration date
01/15/2010
Last updated
05/20/2016
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