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Individual

MR. GREGORY SANSOM JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1300 W RIDGE ST STE 2, MARQUETTE, MI 49855-2142
(906) 228-6200
(906) 228-6224
Mailing address
1300 W RIDGE ST STE 2, MARQUETTE, MI 49855-2142
(906) 228-6200
(906) 228-6224

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010832
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DW5644
RAILROAD MEDICARE
MI
01
MI7253
MEDICARE PIN
01
P00282476
RAILROAD MEDICARE
MI
Enumeration date
12/01/2005
Last updated
09/22/2022
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