Dr. Alex L. Gornitzky M.D. - Orthopaedic Surgery Physician in Ann Arbor, Michigan | ProviderWire

Full Name

Dr. Alex Logan Gornitzky M.D.

NPI Number

1487016739

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/25/2016

Specialties

(Taxonomies)

Name

Orthopaedic Surgery Physician

Pediatric Orthopaedic Surgery Physician

Code

207X00000X

207XP3100X

Primary Taxonomy

Yes

No

Licenses

State

Michigan

Pennsylvania

License Number

4301507007

MT222132

Contact
Information

Purpose

Mailing

Location

Address

3621 S STATE ST

1500 E MEDICAL CENTER DR

City

Ann Arbor

Ann Arbor

State

MI

MI

Postal Code

48108-1633

48109-5000

Country

US

US

Telephone Number

(734) 647-5299

(734) 936-4000

Identifiers

Identifier

MT222132

Identifier State

PA

Identifier Issuer

PA MEDICAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/19/2022

Provider Address

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