Individual
KELLY LAUREN GRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-5772
Mailing address
5989 CYPRESS ST, HASLETT, MI 48840-8214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101020910
MI
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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