Individual
MICHAEL GUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
127 NORTH AVE, MOUNT CLEMENS, MI 48043-9717
(269) 240-7881
Mailing address
44695 BAYVIEW AVE APT 4304, CLINTON TOWNSHIP, MI 48038-1592
(269) 240-7881
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704273339
MI
Other
Enumeration date
05/26/2017
Last updated
09/10/2025
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