Gregory Allen, MD | |
119 Kercheval Ave, Suite 2, Grosse Pointe Farms, MI 48236-3696 | |
(313) 550-6567 | |
Not Available |
Full Name | Gregory Allen |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 119 Kercheval Ave, Grosse Pointe Farms, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1619198603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301035384 (Michigan) | Primary |
Entity Name | St Joseph Mercy Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659499705 PECOS PAC ID: 3779489281 Enrollment ID: O20040226001002 |
Entity Name | Neighborhood Service Organization |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891825808 PECOS PAC ID: 7113907387 Enrollment ID: O20040720001455 |
Entity Name | Bronson Battle Creek Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093119638 PECOS PAC ID: 0547173478 Enrollment ID: O20041103000774 |
Mailing Address | Practice Location Address |
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Gregory Allen, MD 119 Kercheval Ave, Suite 2, Grosse Pointe Farms, MI 48236-3696 Ph: () - | Gregory Allen, MD 119 Kercheval Ave, Suite 2, Grosse Pointe Farms, MI 48236-3696 Ph: (313) 550-6567 |
Raul Jaime Guerrero, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 131 Kercheval Ave, Suite 390, Grosse Pointe Farms, MI 48236 Phone: 313-885-6400 Fax: 313-885-6807 |