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Organization

KRISTYN GREGORY DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTYN MARIE GREGORY DO (OWNER)
(586) 203-2020
Entity
Organization

Contact information

Practice address
57327 VAN DYKE RD, WASHINGTON, MI 48094-2892
(586) 203-2020
(586) 992-1210
Mailing address
16075 WHITE WATER DR, MACOMB, MI 48042-6183
(810) 794-7750
(810) 794-7751

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5101014561
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
5101014561
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2655012874
BCBSM
MI
Enumeration date
03/19/2007
Last updated
06/21/2018
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