Provider Demographics
NPI:1508867490
Name:NOIROT, GILBERT ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:ALAN
Last Name:NOIROT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 N CENTER AVE
Mailing Address - Street 2:SUITE 298
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-1595
Mailing Address - Country:US
Mailing Address - Phone:989-731-7708
Mailing Address - Fax:989-731-7929
Practice Address - Street 1:2147 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-0003
Practice Address - Country:US
Practice Address - Phone:989-732-1753
Practice Address - Fax:989-731-1425
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301081289207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F96004OtherGROUP MEDICARE ID NUMBER
MI4888932Medicaid
MICB0014OtherRAILROAD MEDICARE
MI0P09580Medicare PIN
MI0F96004OtherGROUP MEDICARE ID NUMBER