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Individual

ELLEN H. GRYNIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3145 W CLARK RD, SUITE 401, YPSILANTI, MI 48197-1120
(734) 528-5700
(734) 528-5701
Mailing address
3145 W CLARK RD, SUITE 401, YPSILANTI, MI 48197-1120
(734) 528-5700
(734) 528-5701

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301032462
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4681485-10
MI
Enumeration date
07/26/2006
Last updated
02/11/2014
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