Individual
GREGORY MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2503 E MICHIGAN AVE, JACKSON, MI 49202-3757
(517) 788-9147
(517) 395-4206
Mailing address
2503 E MICHIGAN AVE, JACKSON, MI 49202-3757
(517) 788-9147
(517) 395-4206
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
PV0000000770798
MI
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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