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Individual

MARY BETH GREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2221 HEALTH DR SW, WYOMING, MI 49509
(616) 532-5025
(616) 532-6126
Mailing address
2221 HEALTH DR SW, STE 2100, WYOMING, MI 49519-9700
(616) 532-5025
(616) 532-6126

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
011301
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110956
CARE CHOICES
05
3186229
MI
05
3230775
MI
05
4112088
MI
01
5410102
BLUE CROSS
MI
01
M031721
CHAMPUS
Enumeration date
09/07/2006
Last updated
06/06/2012
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