Polidori, Gregg

Polidori, Gregg is an individual health care provider with primary practice located at 3535 W 13 Mile Rd Ste 202, Royal Oak MI 48073-6770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Polidori, Gregg can be contacted via phone (248) 551-0900.

Contact Information

Primary practice address
3535 W 13 Mile Rd Ste 202 Royal Oak MI 48073-6770
Phone: (248) 551-0900
Fax: (248) 551-0905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301407183 Michigan

Profile Details

NPI number 1689665465
LBN Legal business name Polidori, Gregg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Oct 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689665465 NPPES
Michigan MEDICAID 2836230

Popular Providers