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NPI Code Detail

MEDICARE: DR. GREGORY M UITVLUGT MD

MEDICARE: DR. GREGORY M UITVLUGT 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
1207X00000XOrthopaedic Surgery Physician4301046327MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10331179OTHERMIBLUECARE NETWORK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32003311791OTHERMIBLUE CROSS/BLUE SHIELD
4200000001160OTHERMIPHYSICIANS HEALTH PLAN

General Provider Information

NPI Number : 1881690543
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY M UITVLUGT MD
Provider Business Mailing Address
First Line : PO BOX 30161
Second Line :
City : LANSING
State : MI
Zip : 48909-7661
Country : US
Telephone Number : 517-887-4302
Fax Number : 517-887-4619
Provider Business Practice Location Address
First Line : 2316 S CEDAR ST
Second Line :
City : LANSING
State : MI
Zip : 48910-3152
Country : US
Telephone Number : 517-887-4302
Fax Number : 517-887-4437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 11/18/2025

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