Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

George W Gibson DO PC

Organization Family Medicine Physician · NPI 1912264045

George W Gibson DO PC is a Family Medicine Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15201 W McNichols Rd
Detroit, MI 48235-3717
Phone: (313) 930-0242
Fax: (734) 451-0603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101006424 (MI)

Record details

NPI number1912264045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Gibson — Owner · (313) 930-0242
NPI enumeratedApril 13, 2012
Last updated in NPPESApril 13, 2012
Mailing address15201 W McNichols Rd, Detroit, MI 48235-3717

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