Individual
SOPHIA GRIAS-RADWANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6200 N HAGGERTY RD STE 200, CANTON, MI 48187-3605
(248) 784-3667
(248) 869-3982
Mailing address
29275 NORTHWESTERN HWY, STE 100, SOUTHFIELD, MI 48034-1044
(248) 784-3667
(248) 869-3982
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301072565
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301072565
MI
Other
Enumeration date
09/27/2005
Last updated
05/03/2024
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