Individual
WENDY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 E PINE ST APT 3, MIDLAND, MI 48640-5736
(989) 404-0926
Mailing address
505 E PINE ST APT 3, MIDLAND, MI 48640-5736
(989) 404-0926
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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