Gumbo, Michael

Gumbo, Michael is an individual health care provider with primary practice located at 127 North Ave , Mount Clemens MI 48043-9717. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Gumbo, Michael can be contacted via phone (269) 240-7881.

Contact Information

Primary practice address
127 North Ave Mount Clemens MI 48043-9717
Phone: (269) 240-7881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704273339 Michigan
Nursing Service Providers / Registered Nurse 163W00000X 4704273339 Michigan

Profile Details

NPI number 1902334584
LBN Legal business name Gumbo, Michael
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2017
Last updated Aug 17th, 2026 - about 2 months 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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