Kristyn Gregory DO PC
Psychiatry & Neurology, Child & Adolescent Psychiatry in Washington, MI. Organization (NPI-2).
NPI number1710002001
StatusActive
Last updated in NPPESJun 21, 2018
Details
- NPI
- 1710002001
- Entity type
- Organization (NPI-2)
- Legal business name
- Kristyn Gregory DO PC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2007
- Last updated
- Jun 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 5101014561 | MI | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 5101014561 | MI |
Practice location
57327 Van Dyke RdWashington, MI 48094-2892
Phone 586-203-2020 · Fax 586-992-1210
Mailing address
16075 White Water DrMacomb, MI 48042-6183
Phone 810-794-7750 · Fax 810-794-7751
Authorized official
Kristyn Marie Gregory
Owner
5862032020
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