GEORGE W GIBSON DO PC
Marriage and Family Therapists at Mcnichols Rd, Detroit, MI

License number
Michigan 5101006424
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: GEORGE W GIBSON M.D
Title: OWNER
Phone: (313) 930-0242
Address
Address
15201 W Mcnichols Rd, Detroit, MI 48235
National Provider ID: 1912264045
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GEORGE W. GIBSON, D.O., PC

15201 W Mcnichols, Detroit, MI 48235

Status:
Inactive
Industry:
Osteopathic Physician's Office
Doing business as:
George W Gibson DO PC
Registration:
May 15, 1979
State ID:
210671
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2013
Osteopathy, Owner:
George W. Gibson (Osteopathy, Owner)
Agent:
George W. Gibson, D.o

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