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Contact Information

PETER F GREGORY, DPM
17316 FARMINGTON RD
LIVONIA, MI48152-3158
 Phone: 734-522-7676
 Fax: 734-261-2130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PETER F GREGORY · (Male)

NPI # 1346244803
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/11/2005
Last updated 01/04/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5901000968
  • MI Medicaid 2107660
  • Other 540H221640 BLUE SHIELD DME
  • Other 480001655 RR MEDICARE
  • MI Other 5821542 BLUE SHIELD
  • MI Other 002571 MIDWEST
Hospital affiliation(s)
  • ST MARY MERCY HOSPITAL - (Acute Care)
    36475 FIVE MILE ROAD
    LIVONIA, MI 48154
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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