Individual
RICHARD LAGRANDEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 W 13 MILE RD, STE. LL, ROYAL OAK, MI 48073-6710
(248) 898-5000
Mailing address
3601 W 13 MILE RD, 400-FSC/PCS, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301037470
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3031510
—
MI
Enumeration date
03/25/2006
Last updated
07/08/2007
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