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1225079510
MARK GRANT
SOUTHFIELD, MI
NPI
1225079510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: MI 5101011024)
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
Dr. MARK GRANT D.O.
16001 W 9 MILE RD
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-3000
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Mailing Address
Dr. MARK GRANT D.O.
8986 DEER TRL
BRIGHTON, MI 48114-7567
Phone number:
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