Individual provider · Type 1 NPI

Dane Gulley

Other Technician · Portage, MI

NPI number 1972350411 Active

Practice location

8225 Moorsbridge Rd
Portage, MI 49024-7845

Call (800) 395-3223 Map

Fax (248) 620-6405

Mailing address

6549 Town Center Dr Ste A
Clarkston, MI 48346-4824

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

13 other providers at this address

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About NPI 1972350411

Dane Gulley's National Provider Identifier is 1972350411, issued on May 2, 2024. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Portage, MI. The record was last updated on May 2, 2024.