Individual
MS. JEANNE MARIE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
15675 NORTHLINE RD, SOUTHGATE, MI 48195-2334
(734) 282-3600
Mailing address
22786 FAWN RD, BROWNSTOWN TWP, MI 48183-1154
(734) 479-2890
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
4704086395
MI
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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