Individual
DR. GREGORY A. DUDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
117 CROCKER BLVD, MOUNT CLEMENS, MI 48043-2505
(586) 465-7422
(586) 465-1480
Mailing address
117 CROCKER BLVD, MOUNT CLEMENS, MI 48043-2505
(586) 465-7422
(586) 465-1480
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
GD002916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2096664
—
MI
01
—
P42816
BLUE CARE NETWORK
MI
Enumeration date
06/27/2006
Last updated
07/08/2007
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