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Individual

GREGORY TREADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
25650 OUTER DR, LINCOLN PARK, MI 48146-2096
(313) 383-1897
(313) 383-6018
Mailing address
435 N CENTER ST, ROYAL OAK, MI 48067-1710
(248) 227-6345

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101021277
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710306055
MI
Enumeration date
04/15/2014
Last updated
07/21/2022
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