Individual
DR. LYLE 'SCOTT' GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 E BROWN ST, BIRMINGHAM, MI 48009-6237
(248) 645-1000
Mailing address
PO BOX 1361, BIRMINGHAM, MI 48012-1361
(248) 645-1000
(248) 645-0066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
059577
MI
Other
Enumeration date
09/14/2006
Last updated
03/02/2020
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