Individual
RYAN GRINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT,ATC
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(866) 989-7999
Mailing address
808 BRISTOL AVE NW, GRAND RAPIDS, MI 49504-4840
(517) 388-0002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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