Healthcare Provider Details

I. General information

NPI: 1811920903
Provider Name (Legal Business Name): GREGORY LEE DOBSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 W CLINTON ST
DURAND MI
48429-1158
US

IV. Provider business mailing address

102 W CLINTON ST PO BOX 108
DURAND MI
48429-1158
US

V. Phone/Fax

Practice location:
  • Phone: 989-288-5351
  • Fax: 989-288-5254
Mailing address:
  • Phone: 989-288-5351
  • Fax: 989-288-5254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: