Individual
JOHN A GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, LOBBY A, ANN ARBOR, MI 48105-9484
(734) 930-7400
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301097422
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
4301097422
MI
Other
Enumeration date
09/14/2010
Last updated
07/21/2014
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