Individual
DR. GREGORY Q. CLAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10300 W 9 MILE RD, OAK PARK, MI 48237-2993
(248) 544-8326
(248) 544-2028
Mailing address
10300 W 9 MILE RD, OAK PARK, MI 48237-2993
(248) 544-8326
(248) 544-2028
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101006602
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184608457
—
MI
01
—
700H217350
BLUE SHIELD
MI
Enumeration date
12/01/2005
Last updated
02/16/2011
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