Individual
DR. GREGORY G MONTPETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25599 KELLY RD, SUITE B, ROSEVILLE, MI 48066-4975
(586) 445-2330
(586) 445-2352
Mailing address
25599 KELLY RD, SUITE B, ROSEVILLE, MI 48066-4975
(586) 445-2330
(586) 445-2352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
GM048923
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110042849
RAILROAD MEDICARE
—
01
—
1105017111
BLUE CROSS BLUE SHIELD
MI
05
—
2708570
—
MI
01
—
GM048923
STATE LICENSE
MI
Enumeration date
07/12/2006
Last updated
05/02/2011
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