Provider Demographics
NPI:1154676559
Name:GURVEY, MICHAEL STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:STUART
Last Name:GURVEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2390 CROMBIE CT
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5322
Mailing Address - Country:US
Mailing Address - Phone:805-496-9919
Mailing Address - Fax:805-496-7470
Practice Address - Street 1:2390 CROMBIE CT
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-5322
Practice Address - Country:US
Practice Address - Phone:805-496-9919
Practice Address - Fax:805-496-7470
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-21
Last Update Date:2012-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG9840207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery