Individual
INGA GRILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3577 W 13 MILE RD, ROYAL OAK, MI 48073-6710
(248) 551-7020
Mailing address
3601 W 13 MILE RD, 400-FSC/PCS, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301074637
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300F362430
BCBSM
MI
05
—
4635858
—
MI
Enumeration date
03/21/2006
Last updated
10/21/2020
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