Organization
PETER F GREGORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER FIELD GREGORY D.P.M. (OWNER)
(734) 522-7676
Entity
Organization
Contact information
Practice address
17316 FARMINGTON RD, LIVONIA, MI 48152-3158
(734) 522-7676
(734) 261-2130
Mailing address
17316 FARMINGTON RD, LIVONIA, MI 48152-3158
(734) 522-7676
(734) 261-2130
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901000968
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54OH22164
BLUE CROSS BLUE SHIELD MICHIGAN
MI
01
—
54OH25899
BLUE CROSS BLUE SHIELD MICHIGAN
—
Enumeration date
02/11/2008
Last updated
03/30/2018
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