Individual
MR. DEWITT LEE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3100
(313) 365-3101
Mailing address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3113
(313) 365-3098
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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