Individual
MR. MAX ANDREW GRYTZELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13750 19 MILE RD, STERLING HEIGHTS, MI 48313-2702
(586) 247-0010
(586) 247-4333
Mailing address
4365 SHOREVIEW LN, WHITMORE LAKE, MI 48189-9394
(586) 260-2162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020523
MI
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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