Individual
MRS. MARTHA L GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 GREEN RD, SUITE B, ANN ARBOR, MI 48105
(734) 994-7446
(734) 263-8590
Mailing address
2200 GREEN RD, SUITE B, ANN ARBOR, MI 48105
(734) 994-7446
(734) 263-8590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301043873
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4302485
—
MI
Enumeration date
06/22/2005
Last updated
06/14/2021
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