Organization
GREGERSON RADIOLOGY CONSULTANTS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS M. GREGERSON D.A.C.B.R. (OWNER)
(630) 854-3367
Entity
Organization
Contact information
Practice address
8004 RED FOX RD, STANWOOD, MI 49346
(630) 854-3367
Mailing address
8004 RED FOX RD, STANWOOD, MI 49346-9641
(630) 854-3367
(630) 578-1018
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
038-005324
IL
Other
Enumeration date
05/16/2007
Last updated
08/15/2019
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