Individual
DR. KENNETH VERNON GRATTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
400 BROWN RD, AUBURN HILLS, MI 48326-1305
(248) 648-0003
Mailing address
7683 MACEDAY LAKE RD, WATERFORD, MI 48329-2631
(248) 623-9035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002307
MI
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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