Provider Demographics
NPI:1265720262
Name:GORNOWICZ, ARON ALAN (DO)
Entity type:Individual
Prefix:DR
First Name:ARON
Middle Name:ALAN
Last Name:GORNOWICZ
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1 SEAGATE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:567-585-1918
Mailing Address - Fax:419-824-7359
Practice Address - Street 1:146 SOUTH CHARLES STREET
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221
Practice Address - Country:US
Practice Address - Phone:517-366-5000
Practice Address - Fax:517-366-5002
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2023-11-03
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Provider Licenses
StateLicense IDTaxonomies
MI5101019147207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine