Richard Lee Grant DPM

NPI 1073586376 - Podiatrist - 213ES0103X

NPI Details
NPI 1073586376
Gender Male
Enumeration Date 02/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
29556 SOUTHFIELD RD
SUITE 107
SOUTHFIELD MI, 48076, US
Phone (248) 559-5959
Fax (248) 559-0552
Business Location
581 FOX POINTE COURT
BLOOMFIELD HILLS MI, 48304-1813, US
Phone (248) 334-9162
Fax (248) 334-2114
Toxanomy
Taxonomy Code 213ES0103X
License State Michigan
License Number 5901000735
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According to our database, Dr. Richard Lee Grant DPM NPI is 1073586376, taxonomy code is 213ES0103X and license number is 5901000735, license state is located at Michigan. Richard Lee Grant DPM physically located at 29556 Southfield Rd, Southfield MI, 48076. NPI Number Richard Lee Grant DPM has the Individual type.

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1073586376 NPI number is provided on an as is basis without warranty of any kind. 1073586376 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Lee Grant DPM are for informational purposes only.