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GEORGE JOHN GUGINO MD
>> General Practice >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1528026663
Individual Registrant: GEORGE JOHN GUGINO MD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1941 GATES ST REESE, MI 48757-9555 US
Tel: 989-868-4197 Fax: 989-868-3770
Tel: 989-868-4197 Fax: 989-868-3770
Contact information for business:
PO BOX 394 1941 GATES ST REESE, MI 48757-0394 US
Tel: 989-868-4197 Fax: 989-868-3770
Tel: 989-868-4197 Fax: 989-868-3770
Registration Information:
NPI: 1528026663
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208D00000X | Allopathic & Osteopathic Physicians General Practice | MI | GG024883 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1392012 | MI | 05 |
