Stacey Gorman
M.D | Pediatrics | Female
Stacey Gorman, M.D is a Commerce Township, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Stacey Gorman is
2630 Union Lake Rd, Suite 100, Commerce Township, Michigan - 48382-3582. She can be contacted on phone at
248-360-1200 and fax number 248-360-6182.
Stacey Gorman is a sole proprietor of her business.
NPI number (Unique professional ID) for Stacey Gorman is
1457361156 which was assigned by NPPES on 08 Aug, 2006 and it was last updated on 06 Jul, 2021.
Stacey Gorman license number is
4301056348 for Pediatrics (208000000X) in Michigan.
Stacey Gorman is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Stacey Gorman basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Stacey Gorman |
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| Credential : | M.D |
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| Gender : | Female |
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Business Address:
Stacey Gorman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2630 Union Lake Rd, Suite 100
Commerce Township, MI, 48382-3582
United States |
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| Phone Number : | 248-360-1200 |
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| Fax Number : | 248-360-6182 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1457361156 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Aug, 2006 |
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| Last Updated On : | 06 Jul, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey Gorman are as mentioned. Primary taxonomy code for Stacey Gorman, M.D is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301056348 | MI |
| 208000000X | Pediatrics | No | SG056348 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Stacey Gorman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3053189 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 24 Frank Lloyd Wright Dr Lbby J2000
Ann Arbor, MI, 48105-9484
United States |
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| Phone Number : | 734-747-6766 |
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Business Location:
Patients can refer following map for directions to
Stacey Gorman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.