Individual
SAMUEL ALLEN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 287-9029
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-8004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2022-01488
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
06/12/2024
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