Individual
WILLIAM R GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
125 N MAIN ST, CHEBOYGAN, MI 49721-1637
(231) 627-3800
(231) 627-2482
Mailing address
125 N MAIN ST, CHEBOYGAN, MI 49721-1637
(231) 627-3800
(231) 627-2482
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
WG008271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0751600054
BLUE CROSS BLUE SHIELD
MI
05
—
3055165
—
MI
01
—
5160005
BLUE CARE NETWORK
MI
Enumeration date
08/31/2006
Last updated
10/05/2010
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