Individual
GRANT PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
621 COURT ST STE 104, WEST BRANCH, MI 48661-8768
(989) 701-2293
(989) 701-2297
Mailing address
621 COURT ST STE 104, WEST BRANCH, MI 48661-8768
(989) 701-2293
(989) 701-2297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009872
MI
Other
Enumeration date
03/30/2020
Last updated
01/10/2023
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