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Individual

DR. GRETCHEN LANO BIRBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
601 ELMWOOD AVE, BOX 673, ROCHESTER, NY 14642-0001
(585) 275-1200
(585) 756-5189
Mailing address
601 ELMWOOD AVE, BOX 278984, ROCHESTER, NY 14642-0001
(585) 275-1200
(585) 756-5189

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
270925
NY
2084N0400X
Neurology Physician
Primary
4301075696
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4210801
MI
Enumeration date
06/10/2006
Last updated
03/21/2023
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