| Organization Name: | DANNIE J GENTRY MD PC |
| NPI Number: | 1073664041 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANNIE JOE GENTRY (OWNER) |
| Mailing Address: | 250 N Nelson Rd Suite 1 Ludington |
| State: | MI US |
| Postal Code: | 494311942 |
| Phone Number: | 2318436767 |
| Fax Number: | 2318436522 |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 11/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | 4301073931 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |