| NPI | 1205249414 |
|---|---|
| Other Name | DAN JAY GRITTERS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704276335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704276335) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2021-03-04 |