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Individual

JOI J GRIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3347 MEDBURY ST, DETROIT, MI 48211-3045
(313) 424-9827
Mailing address
3345 MEDBURY ST, DETROIT, MI 48211-3045
(313) 424-9827

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
G660430368020
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54500971
MI
Enumeration date
07/30/2019
Last updated
07/30/2019
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