Individual
MR. TERRANCE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2370
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704235983
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704235983
MI
Other
Enumeration date
08/25/2010
Last updated
08/11/2025
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