Individual provider · Type 1 NPI

Gabrielle Lee Thacker, GABRIELLE

Technician/Technologist · Bingham Farms, MI

NPI number 1740761352 Active

Practice location

32100 Telegraph Rd, Suite 205
Bingham Farms, MI 48025

Call (248) 712-4266 Map

Mailing address

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1740761352

Gabrielle Lee Thacker, GABRIELLE's National Provider Identifier is 1740761352, issued on Aug 22, 2018. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Bingham Farms, MI. The record was last updated on Aug 22, 2018.