Organization
BRENDA ROGERS GRAYS DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ROGERS-GRAYS D.O. (OWNER)
(810) 732-5555
Entity
Organization
Contact information
Practice address
1134 S LINDEN RD, SUITE 6, FLINT, MI 48532-3455
(810) 732-5555
(810) 732-1155
Mailing address
PO BOX 33738, DEPT 999358, DETROIT, MI 48232-3738
(810) 732-5555
(810) 732-1155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008664
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101008664
LICENSE
MI
01
—
5101008664
CONTROLLED SUBSTANCE
—
Enumeration date
07/02/2006
Last updated
03/07/2023
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