Individual
CHERYL A GRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3601 W 13 MILE RD, FSC, ROYAL OAK, MI 48073-6712
(248) 423-2454
(248) 423-2576
Mailing address
3601 W 13 MILE RD, FSC, ROYAL OAK, MI 48073-6712
(248) 423-2454
(248) 423-2576
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704126733
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4899883
—
MI
01
—
500F31819
BCBSM
MI
Enumeration date
06/23/2005
Last updated
02/15/2021
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