Nielsen, Gregory M

Nielsen, Gregory M is an individual health care provider with primary practice located at 26111 Woodward Ave , Huntington Woods MI 48070-1330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Nielsen, Gregory M can be contacted via phone (248) 547-8833.

Contact Information

Primary practice address
26111 Woodward Ave Huntington Woods MI 48070-1330
Phone: (248) 547-8833
Fax: (248) 547-8836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2901014950 Michigan

Profile Details

NPI number 1518949742
LBN Legal business name Nielsen, Gregory M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1518949742 NPPES
Michigan MEDICAID 2915413

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