Individual
DR. PETER F. GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
17316 FARMINGTON RD, LIVONIA, MI 48152-3158
(734) 522-7676
(734) 261-2130
Mailing address
17316 FARMINGTON RD, LIVONIA, MI 48152-3158
(734) 522-7676
(734) 261-2130
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901000968
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901000968
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002571
MIDWEST
MI
05
—
2107660
—
MI
01
—
480001655
RR MEDICARE
—
01
—
540H221640
BLUE SHIELD DME
—
01
—
5821542
BLUE SHIELD
MI
Enumeration date
06/11/2005
Last updated
01/04/2010
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