Individual provider · Type 1 NPI

Evan James Gorgas

Student in an Organized Health Care Education/Training Program · Ypsilanti, MI

NPI number 1174104483 Active

Practice location

5333 Mcauley Dr Rm 2115
Ypsilanti, MI 48197-1097

Call (734) 712-3971 Map

Mailing address

805 Spruce Hill Ln
Ortonville, MI 48462-8538

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174104483

Evan James Gorgas's National Provider Identifier is 1174104483, issued on Apr 19, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ypsilanti, MI. The record was last updated on Apr 19, 2021.