Individual
GREGORY KAMINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
9011 S MAIN ST, PLYMOUTH, MI 48170-4116
(734) 502-7689
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704276091
MI
Other
Enumeration date
06/19/2014
Last updated
11/16/2023
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