Individual
GRANT TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1258 WALTON BLVD, ROCHESTER HILLS, MI 48307-6900
(248) 590-0236
Mailing address
1258 WALTON BLVD, ROCHESTER HILLS, MI 48307-6900
(248) 590-0236
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010297
MI
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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