Organization
PLEXUS GASTRO PLLC
Active
Organization
PLEXUS GASTRO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA G HICKS (CREDENTIALING MANAGER)
(586) 489-9436
Entity
Organization
Contact information
Practice address
6501 GREENFIELD RD, DETROIT, MI 48228-4780
(313) 651-7053
(313) 435-0535
Mailing address
9025 PARDEE RD, TAYLOR, MI 48180-2755
(313) 315-1422
(313) 435-0535
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
08/09/2025
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