NPI | 1992033864 |
---|---|
Doing Business As | PETER H. GAGGOS, D.O. |
Entity Type | Organization |
Authorized Contact | PETER H. GAGGOS President 313-532-5030 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2009-12-03 |
Last Update Date | 2010-12-02 |