Organization
GREGG CHIROPRACTIC LIFE CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAMES GREGG D.C. (PRESIDENT)
(734) 525-8422
Entity
Organization
Contact information
Practice address
1647 INKSTER RD, GARDEN CITY, MI 48135-3086
(734) 525-8422
(734) 525-5421
Mailing address
1647 INKSTER RD, GARDEN CITY, MI 48135-3086
(734) 525-8422
(734) 525-5421
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008872
—
MI
01
—
6693110001
DMEPOS
MI
Enumeration date
12/11/2006
Last updated
02/01/2013
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