Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 008467 | MI |
Y | 213ER0200X | Radiology | 008467 | MI |
NPI | 1184611006 |
---|---|
Provider Name | Dr. Gene W Gamet |
First Address | Muskegon, MI 49444-8802 |
Second Address | Muskegon, MI 49444-8802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U89007 | (02) | MI |