Individual
HOLLY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 284-3132
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 284-3132
(616) 284-3133
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301109366
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/16/2016
Last updated
09/29/2020
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