| Organization Name: | PETER F GREGORY |
| NPI Number: | 1013185214 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER FIELD GREGORY (OWNER) |
| Mailing Address: | 17316 Farmington Rd Livonia |
| State: | MI US |
| Postal Code: | 481523158 |
| Phone Number: | 7345227676 |
| Fax Number: | 7342612130 |
| NPI Enumeration Date: | 02/11/2008 |
| NPI Last Update Date: | 06/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 5901000968 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |