Individual
ALISON K. GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27209 LAHSER RD STE 120, SOUTHFIELD, MI 48034-8402
(248) 996-8730
(249) 996-8926
Mailing address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0871
(888) 220-6432
(630) 734-4715
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301065720
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104318420
—
MI
05
—
4318420
—
MI
Enumeration date
06/16/2006
Last updated
11/23/2016
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