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NPI Code Detail

MEDICARE: DR. DIANNE E GREGORY M.D.

MEDICARE: DR. DIANNE E GREGORY M.D.
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 Physician4301076331MI

General Provider Information

NPI Number : 1497795462
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANNE E GREGORY M.D.
Provider Business Mailing Address
First Line : 1085 S LINDEN RD
Second Line : SUITE 150
City : FLINT
State : MI
Zip : 48532-3421
Country : US
Telephone Number : 810-732-3240
Fax Number : 810-230-0280
Provider Business Practice Location Address
First Line : 8235 HOLLY RD
Second Line : SUITE 1
City : GRAND BLANC
State : MI
Zip : 48439-2441
Country : US
Telephone Number : 810-694-9110
Fax Number : 810-695-0343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 07/09/2007

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Directions to “ DR. DIANNE E GREGORY M.D.” Practice Location

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