Individual
GREGORY G DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 W WASHINGTON ST, GREENVILLE, MI 48838-2190
(616) 754-7040
(616) 754-7888
Mailing address
1330 W WASHINGTON ST, GREENVILLE, MI 48838-2190
(616) 754-7040
(616) 754-7888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12057169
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30435
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
07/23/2013
Last updated
07/23/2013
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