Individual
GREGORY GORDON STANCROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2680 LEONARD ST NE, GRAND RAPIDS, MI 49525-6934
(616) 224-1121
Mailing address
610 CEDAR PINES DR NE, SPARTA, MI 49345-8205
(616) 887-6832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302026793
MI
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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