Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 036.117545 | IL |
N | 208000000X | Pediatrician | 4301098033 | MI |
Y | 2080P0205X | Pediatric Endocrinologist | 4301098033 | MI |
NPI | 1467698696 |
---|---|
Provider Name | Dr. Brigid Ellen Gregg |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-4259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2008 |
Last Update Date | 13/09/2012 |