Individual
DR. JARED GRODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
23133 ORCHARD LAKE RD STE 200, FARMINGTON HILLS, MI 48336-3279
(248) 579-9220
Mailing address
23133 ORCHARD LAKE RD STE 200, FARMINGTON HILLS, MI 48336-3279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5151010751
MI
207RG0100X
Gastroenterology Physician
Primary
5101027935
MI
Other
Enumeration date
04/19/2018
Last updated
03/06/2026
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