Doctor Name: | FARRIS GULLI |
NPI Number: | 1043347354 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4301054589 |
Business Practice Address: | 1 William Carls Dr Commerce Township, MI - 483822201 |
Business Phone Number: | 2489373300 |
Business Fax Number: | |
Mailing Address: | 3601 W 13 Mile Rd Wound Care Center, ROYAL OAK |
State: | MI |
Postal Code: | 48073 |
Phone Number: | 2485517500 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 4301054589 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |