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Samuel Allen Gray
Student in an Organized Health Care Education/Training Program in Wyandotte, Michigan
NPI 1366901332

Samuel Allen Gray is a Student in an Organized Health Care Education/Training Program based in Wyandotte, MI. Samuel Allen Gray practices in Wyandotte, MI. The NPI Number for Samuel Allen Gray is 1366901332 and holds a License No. (Michigan).

The current practice location address for Samuel Allen Gray is 2333 Biddle Ave, Wyandotte, MI and can be reached out via phone at 734-287-9029.

Location: 2333 Biddle Ave, Wyandotte, MI, 48192-4668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366901332
Provider Name
Samuel Allen Gray
Credential
Provider Entity Type
Individual
Gender
Male
Address
2333 Biddle Ave, Wyandotte, MI, 48192-4668
Phone Number
734-287-9029
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2333 Biddle Ave
City
Wyandotte
State
Michigan
Zip
48192-4668
Phone Number
734-287-9029
Fax Number
person
Provider Business Mailing Address Details
Address
2333 Biddle Ave
City
Wyandotte
State
Michigan
Zip
48192-4668
Phone Number
734-287-9029
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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