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Individual

GREG JOHN PEROFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4347 JACKSON RD, ANN ARBOR, MI 48103-1831
(734) 662-4000
(734) 662-2182
Mailing address
7320 ERNST RD, MANCHESTER, MI 48158-9549
(734) 428-0165

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
GP008365
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H11203
BCN
MI
01
11214170
CAQH
MI
01
137247
CARE CHOICES
MI
Enumeration date
07/07/2006
Last updated
07/08/2007
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