Individual
GERARD P VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4646 JOHN R ST, 11M, DETROIT, MI 48201-1916
(313) 576-3118
Mailing address
4646 JOHN R ST, 11M, DETROIT, MI 48201-1916
(313) 576-3118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002033
MI
363AM0700X
Medical Physician Assistant
5601002033
MI
Other
Enumeration date
08/19/2006
Last updated
10/18/2022
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