Most Relevant Information
Provider Data
| NPI Number: | 1003366824 |
| Provider Name: | GABRIEL FERRISE |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/04/2016 |
| Last Updated: | 10/04/2016 |
Provider Practice Location
25857 WESTFIELD
REDFORD
MI
482391836
Practice Location Phone/Fax
| Phone: | 3135983533 |
| Fax: |
Provider Mailing Location
25857 WESTFIELD
REDFORD
MI
482391836
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |