KENNETH GRANT MASTERS

DETROIT, MI
NPI1295355063
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies207L00000X Anesthesiology
(Licence: MI  5101027678)
Enumeration Date2020-04-22
Last Update Date2024-02-02
Business Address
KENNETH GRANT MASTERS DO
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 313-745-3000
Mailing Address
KENNETH GRANT MASTERS DO
3990 JOHN R ST # 162
DETROIT, MI 48201-2018
Phone number: 313-745-7233