Individual
GRANT OOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
770 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-8602
(616) 272-3533
(616) 259-4839
Mailing address
801 ROSEHILL RD, JACKSON, MI 49202-1762
(517) 212-2008
(517) 212-2009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704342731
MI
363LF0000X
Family Nurse Practitioner
3017125
KY
363LF0000X
Family Nurse Practitioner
Primary
4704342731
MI
Other
Enumeration date
05/28/2021
Last updated
08/13/2024
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