NPI 1023712155
Evan Robert Papa Gray
Practice location
- Address
- 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562
- Phone
- (586) 627-0024
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1023712155
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Mar 2023
- Record last updated
- 4 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.