Gray, Martha L

Gray, Martha L is an individual health care provider with primary practice located at 2200 Green Rd Suite B, Ann Arbor MI 48105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gray, Martha L can be contacted via phone (734) 994-7446.

Contact Information

Primary practice address
2200 Green Rd Suite B Ann Arbor MI 48105
Phone: (734) 994-7446
Fax: (734) 263-8590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301043873 Michigan

Profile Details

NPI number 1801892294
LBN Legal business name Gray, Martha L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 14th, 2021 - about 3 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 1801892294 NPPES
Michigan MEDICAID 4302485

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