Organization
BRET G. AUTREY D.O., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET GREGORY AUTREY D.O. (OWNER)
(231) 843-3717
Entity
Organization
Contact information
Practice address
7 N ATKINSON DR, SUITE 112, LUDINGTON, MI 49431-1953
(231) 843-3717
(231) 845-6198
Mailing address
7 N ATKINSON DR, SUITE 112, LUDINGTON, MI 49431-1953
(231) 843-3717
(231) 845-6198
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101014946
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4926720
—
MI
Enumeration date
07/14/2006
Last updated
10/11/2007
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