Organization
SUMMIT REGENERATIVE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL A GRAY DC (OWNER)
(248) 683-6260
Entity
Organization
Contact information
Practice address
2801 ELIZABETH LAKE RD STE 100, WATERFORD, MI 48328-3281
(248) 683-6260
Mailing address
2801 ELIZABETH LAKE RD STE 100, WATERFORD, MI 48328-3281
(248) 683-6260
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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