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Caleb Gibson

NPI 1265836555 · on the registry since 2014

Practice

Address
48343 Jerome Dr
Shelby Twp, MI 48315
Phone
(586) 382-5514
Fax
(586) 739-9037

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan