Individual
GREGORY G GORTAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
43500 VAN DYKE AVE, STERLING HEIGHTS, MI 48314-2436
(586) 739-1450
(586) 739-0325
Mailing address
43500 VAN DYKE AVE, STERLING HEIGHTS, MI 48314-2436
(586) 739-1450
(586) 739-0325
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028265
MI
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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