Healthcare Provider Details

I. General information

NPI: 1184611006
Provider Name (Legal Business Name): GENE W GAMET D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6022 HARVEY ST STE G
MUSKEGON MI
49444-8802
US

IV. Provider business mailing address

6022 HARVEY ST STE G
MUSKEGON MI
49444-8802
US

V. Phone/Fax

Practice location:
  • Phone: 231-799-2020
  • Fax: 231-799-9666
Mailing address:
  • Phone: 231-799-2020
  • Fax: 231-799-9666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License Number008467
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: