Individual
MR. GREGORY LOPEZ VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.B.A.
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
(734) 287-4602
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
(734) 287-4602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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