Provider Demographics
NPI:1184611006
Name:GAMET, GENE W (DC)
Entity type:Individual
Prefix:DR
First Name:GENE
Middle Name:W
Last Name:GAMET
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6022 HARVEY ST
Mailing Address - Street 2:STE G
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49444-8802
Mailing Address - Country:US
Mailing Address - Phone:231-799-2020
Mailing Address - Fax:231-799-9666
Practice Address - Street 1:6022 HARVEY ST
Practice Address - Street 2:STE G
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444-8802
Practice Address - Country:US
Practice Address - Phone:231-799-2020
Practice Address - Fax:231-799-9666
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI008467111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIU89007Medicare UPIN
MI0N71780Medicare ID - Type Unspecified