Individual
GREGORY BERNARD FITZGERALD
Active
Individual
GREGORY BERNARD FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301070156
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135378
CARE CHOICES ID #
MI
01
—
14377
M-CARE
MI
01
—
180F321870
BLUE CROSS GROUP
MI
01
—
7532354
AETNA
MI
01
—
G5031F
BLUE CARE NETWORK GROUP #
MI
01
—
H50483
HAP UPIN
MI
01
—
H50483
HAP
—
01
—
H54083
PPOM UPIN
MI
Enumeration date
06/21/2005
Last updated
11/17/2021
Update your record
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