person
Dennis C Gregory, PAC
Surgical Physician Assistant in Grand Rapids, Michigan
NPI 1093702169

Dennis C Gregory is a Surgical Physician Assistant based in Grand Rapids, MI and is specialized in Surgical. Dennis C Gregory practices in Grand Rapids, MI and has the professional credentials of PAC. The NPI Number for Dennis C Gregory is 1093702169 and holds a License No. 5601003804 (Michigan).

The current practice location address for Dennis C Gregory is 1111 Leffingwell Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-459-7101 and via fax at 616-464-6170.

Location: 1111 Leffingwell Ave Ne, Grand Rapids, MI, 49525-6406
person
Provider Profile Details
NPI Number
1093702169
Provider Name
Dennis C Gregory
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1111 Leffingwell Ave Ne, Grand Rapids, MI, 49525-6406
Phone Number
616-459-7101
Fax Number
616-464-6170
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00128331 01 RR MEDICARE
0P18140 01 MI GROUP MEDICARE PTAN
P18140006 01 MI MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1111 Leffingwell Ave Ne
City
State
Zip
49525-6406
Phone Number
616-459-7101
Fax Number
616-464-6170
person
Provider Business Mailing Address Details
Address
1111 Leffingwell Ave Ne
City
State
Zip
49525-6406
Phone Number
616-459-7101
Fax Number
616-464-6170
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5601003804 (Michigan)
Definition
Definition to come...
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