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MR. BENJAMIN CARROLL GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
100 MICHIGAN ST NE STE 8861, GRAND RAPIDS, MI 49503-2560
(616) 391-6588
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006899
MI

Other

Enumeration date
12/27/2013
Last updated
07/14/2025
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