Individual
DENISE DESCHAINE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6611
(616) 685-3034
Mailing address
PO BOX 776974, CHICAGO, IL 60677-6974
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301063878
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336195007
—
MI
Enumeration date
05/25/2006
Last updated
11/10/2022
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