Individual
GRANT PRIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TOWNSHIP, MI 48382-2201
(715) 581-5584
Mailing address
25901 WOODWARD AVE, ROYAL OAK, MI 48067-0951
(715) 581-5584
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101022854
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
12/02/2021
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