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Contact Information

HUMBERTO C GONZALEZ GONZALEZ, MD
2799 W GRAND BLVD
DETROIT, MI48202-2608
 Phone: 139-167-1783
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Transplant Hepatology

207RT0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HUMBERTO C GONZALEZ GONZALEZ · (Male)

NPI Number 1043401086
Status Active
Credentials MD
Entity Individual
Enumeration date 08/06/2007
Last updated 09/29/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301089991
  • MN License # 107128
  • MN License # 56890
  • TN License # 51261
  • AR Medicaid 206119001
  • MS Medicaid 04122575
  • TN Medicaid Q008639
  • TN Other 6025474 BCBS
Hospital affiliation(s)
  • COVENANT MEDICAL CENTER INC - (Acute Care)
    1447 N HARRISON
    SAGINAW, MI 48602
  • HENRY FORD HOSPITAL - (Acute Care)
    2799 W GRAND BLVD
    DETROIT, MI 48202
  • HENRY FORD MACOMB HOSPITAL - (Acute Care)
    15855 NINETEEN MILE RD
    CLINTON TOWNSHIP, MI 48038
  • HENRY FORD WEST BLOOMFIELD HOSPITAL - (Acute Care)
    6777 WEST MAPLE ROAD
    W BLOOMFIELD, MI 48322
  • HENRY FORD WYANDOTTE HOSPITAL - (Acute Care)
    2333 BIDDLE AVE
    WYANDOTTE, MI 48192
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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