Individual
GREGORY J ENDRESBERCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 W 6TH ST, CLARE, MI 48617-1409
(989) 386-9951
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(734) 995-3764
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
060087
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3492699
—
MI
05
—
3492714
—
MI
05
—
3495761
—
MI
05
—
3495770
—
MI
05
—
3505821
—
MI
01
—
GE060087
BC/BS
MI
Enumeration date
06/09/2006
Last updated
01/28/2011
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