Individual
GREGORY MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
35150 NANKIN BLVD, SUITE 103, WESTLAND, MI 48185-2091
(734) 513-1200
(734) 513-1201
Mailing address
35150 NANKIN BLVD, SUITE 103, WESTLAND, MI 48185-2091
(734) 513-1200
(734) 513-1201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009292
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4423060
—
MI
Enumeration date
01/24/2006
Last updated
07/08/2007
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