Individual
CHARMAINE R GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(734) 995-3764
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
085170
MI
207P00000X
Emergency Medicine Physician
Primary
M-2240
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104754877
—
MI
05
—
104754886
—
MI
01
—
CG085170
BC/BS
MI
Enumeration date
06/01/2006
Last updated
04/09/2021
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