Dr. Gina Gora
Family Doctor Family Doctor - Hospice and Palliative Medicine
6900 Orchard Lake Rd Ste 100
West Bloomfield
, Michigan 48322-3424
Dr. Gina Gora
Family Doctor Family Doctor - Hospice and Palliative Medicine
6900 Orchard Lake Rd Ste 100
West Bloomfield
, Michigan 48322-3424
(248) 673-6068
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Gina Gora
- 3347 Wormer Dr.
- Waterford, MI
- Zip : 48329
- Fax : (248) 673-6068
- Phone : (248) 872-1526
Second Address
- Dr. Gina Gora
- 6900 Orchard Lake Rd Ste 100
- West Bloomfield, MI
- Zip : 48322-3424
- Phone : (248) 855-4134
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 4301066415 | MI |
| N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 4301066415 | MI |
National Provider Identifier
| NPI | 1285639351 |
|---|---|
| Provider Name | Dr. Gina Gora |
| First Address | Waterford, MI 48329 |
| Second Address | West Bloomfield, MI 48322-3424 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 05/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4301066415 | CONTROLLED SUBSTANCE (01) | MI |
| 454929510 | (05) | MI |
| BG6223806 | DEA (01) | |
| G89853 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.