Individual
BRANDON GRODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22250 PROVIDENCE DR, 3PMB SUITE #301, SOUTHFIELD, MI 48075
(248) 849-3281
Mailing address
22250 PROVIDENCE DR, 3PMB SUITE #301, SOUTHFIELD, MI 48075
(248) 849-3281
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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