Individual
MR. JASON DAVID GRELLMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22151 MOROSS RD, DETROIT, MI 48236-2167
(313) 343-4867
Mailing address
11031 BOREN AVE, LOMA LINDA, CA 92354-6517
(269) 845-5957
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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