Individual
BRIAN GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 E MICHIGAN AVE, LANSING, MI 48912-1800
(517) 364-5264
Mailing address
1200 E MICHIGAN AVE, LANSING, MI 48912-1800
(517) 364-5264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010542
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073588711
—
MI
Enumeration date
02/22/2018
Last updated
02/22/2018
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