Individual
MR. GREGORY ANTHONY WASILOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21885 DUNHAM RD, CLINTON TWP, MI 48036-1030
(586) 469-5950
Mailing address
43567 NEBEL TRL, CLINTON TWP, MI 48038-2468
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801064199
MI
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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