Provider Demographics
NPI:1952353765
Name:ASSARIAN, GARY STEVEN (DO)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:STEVEN
Last Name:ASSARIAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3050 BLOOMFIELD XING
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-1717
Mailing Address - Country:US
Mailing Address - Phone:248-332-0816
Mailing Address - Fax:258-358-1311
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:248-358-4510
Practice Address - Fax:248-358-1311
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2010-09-29
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Provider Licenses
StateLicense IDTaxonomies
MI007927207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5632235Medicare UPIN
MIF03743Medicare UPIN