Individual
DR. IRVIN J. GASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, PHD
Contact information
Practice address
20901 W 7 MILE RD, DETROIT, MI 48219-1904
(313) 564-5510
(248) 336-9137
Mailing address
18000 W 9 MILE RD STE 200, SOUTHFIELD, MI 48075-4020
(248) 336-4000
(248) 336-9137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
IG007321
MI
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
5101007321
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1293005
—
MI
Enumeration date
04/11/2006
Last updated
12/16/2025
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