Individual
MR. GRANT DAVID MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4000 EASTERN SKY DR STE 1, TRAVERSE CITY, MI 49684-7351
(231) 947-6921
Mailing address
2625 WILD COYOTE DR, INTERLOCHEN, MI 49643-8636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302026863
MI
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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