Organization
HOWARD GREGG JR DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD W GREGG JR. DO (PRESIDENT)
(231) 876-7200
Entity
Organization
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7200
Mailing address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H31011
BLUE CROSS BLUE SHIELD MI
MI
01
—
103401
MOLINA HEALTHCARE
MI
01
—
104188
PREFERRED CHOICES
MI
01
—
15098
PRIORITY HEALTH
MI
01
—
37020
COMMUNITY CHOICE OF MI
MI
01
—
CI8966
RAILROAD MEDICARE
MI
01
—
XX27481
HEALTHPLUS OF MI
MI
Enumeration date
07/16/2006
Last updated
08/22/2020
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