Individual
MELISSA JANE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201
(313) 745-5604
(313) 966-0039
Mailing address
4201 ST. ANTIONE UHC 6F MAILBOX# 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301053235
MI
2080P0210X
Pediatric Nephrology Physician
Primary
4301053235
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4550680.10
—
MI
Enumeration date
03/24/2006
Last updated
01/04/2011
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