Organization
PETER G GRAIN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER G. GRAIN M.D. (OWNER)
(248) 620-9310
Entity
Organization
Contact information
Practice address
7650 DIXIE HWY, SUITE 100, CLARKSTON, MI 48346-2078
(248) 620-9310
(248) 620-1812
Mailing address
7650 DIXIE HWY, SUITE 100, CLARKSTON, MI 48346-2078
(248) 620-9310
(248) 620-1812
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301069603
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1406326922
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
06/05/2007
Last updated
08/22/2020
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