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Cheryl Gibson Fountain, MD
Obstetrics & Gynecology Physician in Grosse Pointe Park, Michigan
NPI 1184612574

Cheryl Gibson Fountain is a Obstetrics & Gynecology Physician based in Clinton Twp, MI. Cheryl Gibson Fountain practices in Grosse Pointe Park, MI and has the professional credentials of MD. The NPI Number for Cheryl Gibson Fountain is 1184612574 and holds a License No. 4301052473 (Michigan).

The current practice location address for Cheryl Gibson Fountain is 15050 E Jefferson Ave, Grosse Pointe Park, MI and can be reached out via phone at 313-823-4682 and via fax at 313-823-8022.

Location: 15050 E Jefferson Ave, Grosse Pointe Park, MI, 48038-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184612574
Provider Name
Cheryl Gibson Fountain
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
15050 E Jefferson Ave, Grosse Pointe Park, MI, 48038-1136
Phone Number
313-823-4682
Fax Number
313-823-8022
Provider Enumeration Date
10/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
700H249730 01 MI BCBS GROUP NUMBER
4502234 05 MI
4417616 05 MI
institution
Provider Business Practice Location Address Details
Address
15050 E Jefferson Ave
City
Grosse Pointe Park
State
Michigan
Zip
48230-2050
Phone Number
313-823-4682
Fax Number
313-823-8022
person
Provider Business Mailing Address Details
Address
15050 E Jefferson Ave
City
Grosse Pointe Park
State
Michigan
Zip
48230-2050
Phone Number
313-823-4682
Fax Number
313-823-8022
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
4301052473 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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