Individual
GREGORY C. MAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
KINGSWOOD HOSPITAL, 10300 WEST EIGHT MILE ROAD, FERNDALE, MI 48220
(248) 691-4865
(248) 691-4877
Mailing address
KINGSWOOD HOSPITAL, 10300 WEST EIGHT MILE ROAD, FERNDALE, MI 48220
(248) 691-4865
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301047989
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309201510
—
MI
01
—
700H262290
BLUE CROSS-BLUE CROSS
—
01
—
GM047989
CHAMPUS-CHAMPUS
—
Enumeration date
12/11/2006
Last updated
07/31/2018
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