Individual
DR. ALLISON N GORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
900 COOPER AVE, EMERGENCY DEPARTMENT, SAGINAW, MI 48602-5182
(989) 583-6521
(989) 583-4134
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-6521
(989) 583-4134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.008853
OH
207P00000X
Emergency Medicine Physician
Primary
5101015406
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000495818
ANTHEM
OH
01
—
000000518962
ANTHEM
OH
05
—
2724485
—
OH
01
—
341960760029
CARESOURCE
OH
05
—
4798423
—
MI
05
—
4986343
—
MI
01
—
810547599070
CARESOURCE
OH
Enumeration date
05/04/2006
Last updated
04/09/2014
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