Individual
NATHAN GONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8400
Mailing address
322 ARMITAGE DR, MONROE, MI 48162-3508
(502) 314-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
05093
KY
207P00000X
Emergency Medicine Physician
Primary
5151013970
MI
390200000X
Student in an Organized Health Care Education/Training Program
5151013970
MI
Other
Enumeration date
06/02/2019
Last updated
10/07/2022
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