Individual
DR. GREGORY JOHN GRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2800 W BIG BEAVER RD, STE. N-104, TROY, MI 48084-3206
(248) 649-6766
(248) 649-9513
Mailing address
1720 NORTHWOOD BLVD, ROYAL OAK, MI 48073-3805
(248) 548-6605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003571
MI
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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