Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 4301089751 | MI |
Y | 111NI0900X | Internist | 4301089751 | MI |
N | 207RG0300X | Geriatric Medicine | 4301089751 | MI |
NPI | 1033314869 |
---|---|
Provider Name | Varinia Urday-Gamalski |
First Address | Troy, MI 48084-4140 |
Second Address | Troy, MI 48084-4140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 08/11/2017 |