Individual
BRAD JAMES GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
495 DEEPLANDS RD, GROSSE POINTE WOODS, MI 48236-2703
(313) 590-6163
Mailing address
495 DEEPLANDS RD, GROSSE POINTE WOODS, MI 48236-2703
(313) 590-6163
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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