SearchMichigan183500000X

Gary Nanson

NPI 1750569943 · on the registry since 2008 · sole proprietor

Practice

Address
2910 Pine Grove Ave
Port Huron, MI 48060
Phone
(810) 987-3663
Organisation at this address
Rite Aid Of Michigan Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-02-10

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