Individual
DR. GREGORY V MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
33014 5 MILE RD, LIVONIA, MI 48154-3075
(734) 261-7401
(734) 261-7417
Mailing address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5101011612
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0425310001
DMERC-OAKLAND OFFICE
MI
01
—
0425310002
DMERC-LIVONIA OFFICE
MI
01
—
0425310003
DMERC-MACOMB OFFICE
MI
01
—
0425310004
DMERC-WARREN OFFICE
MI
01
—
0E06273
BCBSM
MI
05
—
114506028
—
MI
01
—
CB9133
RAILROAD MEDICARE
MI
Enumeration date
04/13/2006
Last updated
10/03/2019
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