George John Gugino, MD

Individual provider Active NPI General Practice Physician · Reese, MI

NPI 1528026663 · NPPES record last updated Aug 2, 2026

Key facts

NPI
1528026663
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
GG024883 (MI)
Practice address
1941 Gates St
Reese, MI 48757-9555
Phone
(989) 868-4197
Fax
(989) 868-3770
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GG024883MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc Past
since May 10, 2010
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X GG024883 MI Yes

Addresses

Primary practice location

1941 Gates St
Reese, MI 48757-9555

Mailing address

PO Box 394
1941 Gates St
Reese, MI 48757-0394
Phone (989) 868-4197

Other identifiers

IdentifierTypeStateIssuer
1392012MedicaidMI

Other providers in Reese, MI

All providers in Reese, MI · General Practice Physician in Michigan

Sources for this page

Verify at the official NPI Registry.