Individual
GWENDOLYN GREATHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21814 ELMWOOD AVE, EASTPOINTE, MI 48021-2112
(313) 717-6633
Mailing address
21814 ELMWOOD AVE, EASTPOINTE, MI 48021-2112
(313) 717-6633
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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