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Individual
DR. SAMUEL GREGERSON
Active
Individual
DR. SAMUEL GREGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101028001
MI
207R00000X
Internal Medicine Physician
5151015027
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2021
Last updated
06/25/2024
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