MIKHAIL MIKHAILOVICH GORBOUNOV

PROVIDENCE, RI
NPI1114410875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: RI  LP04351)
Enumeration Date2018-06-07
Last Update Date2018-06-07
Business Address
Dr. MIKHAIL MIKHAILOVICH GORBOUNOV MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5057
Mailing Address
Dr. MIKHAIL MIKHAILOVICH GORBOUNOV MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5057