Individual
DANIEL JAY GRITTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4100 LAKE DR SE, SUITE 200, GRAND RAPIDS, MI 49546-8292
(616) 267-8244
(616) 267-7272
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704276335
MI
363LF0000X
Family Nurse Practitioner
Primary
4704276335
MI
Other
Enumeration date
06/05/2014
Last updated
03/04/2021
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