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Individual

DR. GRETCHEN M FELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
331 STEWART RD, MONROE, MI 48162-4393
(734) 384-1660
(734) 457-9030
Mailing address
331 STEWART RD, MONROE, MI 48162-4393
(734) 384-1660
(734) 457-9030

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
34044
TN
208600000X
Surgery Physician
Primary
GF089113
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05810871
BLUE CROSS BLUE SHIELD
MI
05
4964720
MI
Enumeration date
05/02/2006
Last updated
03/07/2023
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