Individual
GREGORY DORNBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1166 MARIGOLD AVE, EAST LANSING, MI 48823-5131
(517) 667-9858
Mailing address
1166 MARIGOLD AVE, EAST LANSING, MI 48823-5131
(517) 667-9858
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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