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NPI Code Detail

MEDICARE: DR. GREG S NAMAN MD

MEDICARE: DR. GREG S NAMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301068499MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00910834OTHERMIRAILROAD MEDICARE IND PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11106354272OTHERMIBCN IND
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
51106354272OTHERMIBCBS IND
61265493498OTHERMIBCN IND
71265493498OTHERMIBCBS IND

General Provider Information

NPI Number : 1265493498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREG S NAMAN MD
Provider Business Mailing Address
First Line : 911 E 9 MILE RD
Second Line :
City : FERNDALE
State : MI
Zip : 48220-1934
Country : US
Telephone Number : 248-336-7000
Fax Number : 248-336-9137
Provider Business Practice Location Address
First Line : 911 E 9 MILE RD
Second Line :
City : FERNDALE
State : MI
Zip : 48220-1934
Country : US
Telephone Number : 248-336-7000
Fax Number : 248-336-9137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 02/20/2013

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Directions to “ DR. GREG S NAMAN MD” Practice Location

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