Provider Demographics
NPI:1356899918
Name:KIRINOVIC, GABRIEL
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:
Last Name:KIRINOVIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 CAYUGA TRL
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48748-9680
Mailing Address - Country:US
Mailing Address - Phone:989-820-0207
Mailing Address - Fax:
Practice Address - Street 1:3701 CAYUGA TRL
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:MI
Practice Address - Zip Code:48748-9680
Practice Address - Country:US
Practice Address - Phone:989-820-0207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other