Gates, Marilyn L.G.

Gates, Marilyn L.G. is an individual health care provider with primary practice located at 25 Michigan St Ne Suite 6100, Grand Rapids MI 49503-2515. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Gates, Marilyn L.G. can be contacted via phone (616) 267-7900.

Contact Information

Primary practice address
25 Michigan St Ne Suite 6100 Grand Rapids MI 49503-2515
Phone: (616) 267-7900
Fax: (616) 267-7901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4301082971 Michigan

Profile Details

NPI number 1134294879
LBN Legal business name Gates, Marilyn L.G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jun 26th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134294879 NPPES
Michigan MEDICAID 458071310
Michigan Other MG082971
Michigan Other 700H262230
Michigan Other MG082971

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