Provider Demographics
NPI:1992991673
Name:T & G CORPORATION INC
Entity type:Organization
Organization Name:T & G CORPORATION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNABALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-261-2266
Mailing Address - Street 1:4050 E 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-2534
Mailing Address - Country:US
Mailing Address - Phone:586-261-2266
Mailing Address - Fax:586-261-3628
Practice Address - Street 1:4050 E 12 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-2534
Practice Address - Country:US
Practice Address - Phone:586-261-2266
Practice Address - Fax:586-261-3628
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:T & G CORPORATION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-17
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty