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Contact Information

GRAY REIGN MEDICAL, PLLC
6255 28TH STREET SE
SUITE 2
GRAND RAPIDS, MI49546
 Phone: 616-980-0901
 Fax: 616-980-2231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GRAY REIGN MEDICAL PLLC · (Female)

NPI # 1134909575
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2023
Last updated 03/25/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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