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Individual

GREGORY SCOTT RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
28860 COLEMAN DR, GROSSE ILE, MI 48138-2053
(734) 692-0877
Mailing address
28860 COLEMAN DR, GROSSE ILE, MI 48138-2053
(734) 692-0877

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
AS820313332
MI

Other

Enumeration date
03/05/2015
Last updated
03/05/2015
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