Individual
MICHAEL DANIEL GONZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1216 E HUNTING PARK AVE, 2ND FLOOR, PHILADELPHIA, PA 19124-4928
(267) 672-1262
Mailing address
PO BOX 1034, FOXCROFT SQUARE, PA 19046-7334
(267) 672-1262
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010994
PA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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