Justin R. Gomoluch

Case Manager/Care Coordinator · Port Huron, MI

Individual Active NPI

NPI number 1780368555

Practice location

3111 Electric Ave
Port Huron, MI 48060-8127
Phone
(810) 966-8900

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NPI record

NPI
1780368555
Entity type
Individual (Type 1)
Enumeration date
June 12, 2023
Last updated
June 12, 2023
Certified
June 12, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

About Justin Gomoluch

Justin R. Gomoluch is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 3111 Electric Ave, Port Huron, MI 48060-8127. The NPI number 1780368555 was assigned on June 12, 2023 and the record was last updated on June 12, 2023.

Frequently asked questions

What is the NPI number of Justin R. Gomoluch?

The NPI number is 1780368555.

What is the phone number of Justin Gomoluch?

The phone number listed for the practice location is (810) 966-8900.

Where is Justin Gomoluch located?

3111 Electric Ave, Port Huron, MI 48060-8127.

What is the taxonomy code for Justin Gomoluch?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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