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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GREGORY MARK ROSTKER, CTRS

Active Sole Proprietor

MR. GREGORY MARK ROSTKER, CTRS is a Recreation Therapist healthcare provider located in WALLED LAKE, Michigan. NPI 1720716699 is currently active in the NPPES registry. Verify at CMS.

Recreation Therapist · WALLED LAKE, MI

Registration Details

NPI Number
1720716699
Provider Type
Individual
Gender
Male
NPI Issued
Aug 9, 2022 (4.0511673244031 yrs)
Last Updated
Aug 9, 2022
License
24125 (MI)
Sole Proprietor
Yes

Practice Information

Address
1594 BEACHWOOD DR
WALLED LAKE, MI, 483905881
Browse MI providers · Browse ZIP 48390
Phone
2489107425
Primary Specialty
Recreation Therapist
225800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.