Individual
DR. JEFFREY GRESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2450 WALTON BLVD, ROCHESTER HILLS, MI 48309-1481
(248) 650-0096
(248) 650-9831
Mailing address
2450 WALTON BLVD, ROCHESTER HILLS, MI 48309-1481
(248) 650-0096
(248) 650-9831
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
JG012005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340F375640
BCBSM
MI
05
—
4139143
—
MI
Enumeration date
09/15/2006
Last updated
07/08/2007
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