Individual
NATHAN GRAY LAFAYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18181 OAKWOOD BLVD STE 311, DEARBORN, MI 48124-5031
(313) 982-5288
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301113418
MI
Other
Enumeration date
06/23/2011
Last updated
10/15/2020
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