Individual
MR. GERALD ALAN ASHBY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
J.D., B.A., SST
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
Mailing address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6803086400
MI
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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