BENJAMIN CARROLL GRANT

GRAND RAPIDS, MI
NPI1114348737
Other NameROMAN BENJAMIN CARROLL GRANT
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006899)
Additional Taxonomies363A00000X Physician Assistant
(Licence: AR  PA-1155)
Enumeration Date2013-12-27
Last Update Date2025-05-14
Business Address
Mr. BENJAMIN CARROLL GRANT PA-C
100 MICHIGAN ST NE MC019
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1969
Mailing Address
Mr. BENJAMIN CARROLL GRANT PA-C
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number: