RUSSELL SHANE GREGORY

SAINT CLAIR SHORES, MI
NPI1437897667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501301924)
Enumeration Date2022-05-26
Last Update Date2022-06-06
Business Address
RUSSELL SHANE GREGORY DPT
24715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080-3207
Phone number: 586-779-7970
Mailing Address
RUSSELL SHANE GREGORY DPT
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644