Individual
MARK GRINZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
4349 SAWKAW DR NE, GRAND RAPIDS, MI 49525-1768
(586) 576-4140
Mailing address
4349 SAWKAW DR NE, GRAND RAPIDS, MI 49525-1768
(616) 361-7327
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901021497
MI
Other
Enumeration date
06/02/2015
Last updated
06/21/2021
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