Fitzgerald, Gregory Bernard

Fitzgerald, Gregory Bernard is an sole proprietor health care provider with primary practice located at 600 S Adams Rd Ste 200, Birmingham MI 48009-6863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fitzgerald, Gregory Bernard can be contacted via phone (248) 646-3733.

Contact Information

Primary practice address
600 S Adams Rd Ste 200 Birmingham MI 48009-6863
Phone: (248) 646-3733
Fax: (248) 642-2566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301070156 Michigan

Profile Details

NPI number 1992701452
LBN Legal business name Fitzgerald, Gregory Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Nov 17th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992701452 NPPES
Michigan Other 7532354 AETNA
Michigan Other H54083 AETNA
Michigan Other 14377 AETNA
Michigan Other G5031F AETNA
Michigan Other 180F321870 AETNA
Michigan Other H50483 AETNA
Michigan Other 135378 AETNA
Michigan Other H50483 AETNA

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