Individual
DR. GRANT MICHAEL HUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22021 ECORSE RD, TAYLOR, MI 48180-1847
(313) 291-4444
(313) 291-7540
Mailing address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5151015668
MI
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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