Individual
DR. JEANNE MARIE GRATIOT-DEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 E BELTLINE AVE NE, SUITE 100, GRAND RAPIDS, MI 49506-1267
(616) 752-6235
(616) 752-6324
Mailing address
330 E BELTLINE AVE NE, SUITE 100, GRAND RAPIDS, MI 49506-1267
(616) 752-6235
(616) 752-6324
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301054974
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3116251
—
MI
Enumeration date
10/03/2006
Last updated
01/18/2011
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