Dennis C Gregory PAC

NPI 1093702169 - Physician Assistant - 363AS0400X

NPI Details
NPI 1093702169
Gender Male
Enumeration Date 10/04/2005
Last Updated 09/12/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
230 MICHIGAN ST NE
SUITE 300
GRAND RAPIDS MI, 49503-2550, US
Phone (616) 459-7101
Fax (616) 459-8425
Business Location
230 MICHIGAN ST NE
SUITE 300
GRAND RAPIDS MI, 49503-2550, US
Phone (616) 459-7101
Fax (616) 459-8425
Toxanomy
Taxonomy Code 363AS0400X
License State Michigan
License Number 5601003804
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According to our database, Dennis C Gregory PAC NPI is 1093702169, taxonomy code is 363AS0400X and license number is 5601003804, license state is located at Michigan. Dennis C Gregory PAC physically located at 230 Michigan St Ne, Grand Rapids MI, 49503-2550. NPI Number Dennis C Gregory PAC has the Individual type.

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1093702169 NPI number is provided on an as is basis without warranty of any kind. 1093702169 is maintained by the National Plan & Provider Enumeration System. The contents of Dennis C Gregory PAC are for informational purposes only.