NPI 1841853009

Gray Allen Strode, CPRCCPRM

Practitioner Prevention Professional Detroit, MI

Practice location

Address: 1121 E McNichols Rd, Detroit, MI 48203-2857
Phone: (313) 365-3100
Fax: (313) 365-3101

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence SA0803019 (MI)

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Registry record

NPI: 1841853009
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2019
Record last updated: 15 Apr 2019

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.