Organization
FAMILY PRACTICE PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R GRADOLPH MD (PRESIDENT)
(586) 286-5500
Entity
Organization
Contact information
Practice address
43421 GARFIELD RD, STE 1, CLINTON TWP, MI 48038-1133
(586) 286-5500
(586) 286-0900
Mailing address
43421 GARFIELD RD, STE 1, CLINTON TWP, MI 48038-1133
(586) 286-5500
(586) 286-0900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PG034110
MI
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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