Individual
GRANT DORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1260 EKHART ST NE, GRAND RAPIDS, MI 49503-1380
(616) 695-3492
Mailing address
1260 EKHART ST NE, GRAND RAPIDS, MI 49503-1380
(616) 695-3492
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
02/26/2024
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