Individual
EMILY MICHELLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19725 W 12 MILE RD, SOUTHFIELD, MI 48076-2584
(248) 678-5117
(248) 658-8777
Mailing address
30060 HATHAWAY ST, LIVONIA, MI 48150-3092
(734) 578-8074
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
704285810
MI
Other
Enumeration date
04/12/2018
Last updated
05/21/2019
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