Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 5101007497 | MI |
NPI | 1033148804 |
---|---|
Provider Name | Dr. Sherman Gorbis |
First Address | Lansing, MI 48911-4299 |
Second Address | Lansing, MI 48911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 26/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3317732 | (05) | MI |
E06120 | (02) | MI |