Individual
MEDINA H GREGORY
Active
Individual
MEDINA H GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101015366
MI
207L00000X
Anesthesiology Physician
OS18224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0556910245
BLUE SHIELD
MI
05
—
5179054
—
MI
Enumeration date
05/02/2007
Last updated
05/01/2026
Update your record
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