Gregory Allen Niederhauser, D.O.
Individual provider Active NPI General Practice Physician · Oakland, MI
NPI 1457798159 · NPPES record last updated Jun 4, 2013
Key facts
- NPI
- 1457798159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 510101187 (MI)
- Practice address
- 1541 W Buell Rd
Oakland, MI 48363-2331 - Phone
- (248) 212-9217
- NPI assigned
- Jun 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 510101187 | MI | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 510101187 | MI | Yes |
Addresses
Primary practice location
1541 W Buell Rd
Oakland, MI 48363-2331
Mailing address
1541 W Buell Rd
Oakland, MI 48363-2331
Phone (248) 212-9217
Other providers in Oakland, MI
- Rebecca Lawlor
- Colleen Renee Maheswaran
- Colleen Marie Marcinkoski
- Mary A McMillian
- New Horizon Community Health
- Progressive Lifestyle Inc
- Dawn Schell
- Nancy E. Shiver
- Albert Wesley
- Louinda V Zahdeh
All providers in Oakland, MI · General Practice Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.