Individual
DR. GREGG B HANERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1250 E MICHIGAN AVE, GRAYLING, MI 49738
(989) 348-0550
Mailing address
1250 E MICHIGAN AVE, GRAYLING, MI 49738-7074
(989) 348-0550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GH010110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4579374
—
MI
Enumeration date
09/29/2005
Last updated
12/18/2020
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