Dismuke, Gabrielle Amanda

Dismuke, Gabrielle Amanda is an individual health care provider with primary practice located at 7700 2Nd Ave Ste 410 , Detroit MI 48202-2411. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Dismuke, Gabrielle Amanda can be contacted via phone (313) 986-1100.

Contact Information

Primary practice address
7700 2Nd Ave Ste 410 Detroit MI 48202-2411
Phone: (313) 986-1100
Fax: (313) 338-3082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1366870990
LBN Legal business name Dismuke, Gabrielle Amanda
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2013
Last updated Oct 16th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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