IndividualActive
Nathan Gonik, M.D.
NPI 1174759815 · Pediatric Otolaryngology Physician · Detroit, MI
Provider details
- NPI number
- 1174759815
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4301105847 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3901 Beaubien St
Suite 2102
Detroit, MI 48201-2119
Phone: (313) 966-6443
Fax: (313) 745-0747
Approximate (ZIP-level) locationGet directions
Mailing address
3901 Beaubien St
Detroit, MI 48201-2119
Registry dates
- Enumerated
- 2009-06-09
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.