THERESE FERMO GONZALEZ

GRAND RAPIDS, MI
NPI1295040855
Former NameTHERASE ANGELICA V. FERMO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301095835)
Additional Taxonomies207R00000X Internal Medicine
(Licence: SD  8816)
Enumeration Date2010-08-06
Last Update Date2016-07-20
Business Address
-- THERESE FERMO GONZALEZ M.D.
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-8500
Mailing Address
-- THERESE FERMO GONZALEZ M.D.
1900 44TH ST SE
KENTWOOD, MI 49508-5008
Phone number: 616-685-1808