Individual
DR. DELOREAN Q GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4160 JOHN R, 400, DETROIT, MI 48202-2819
(313) 745-7514
Mailing address
6900 ORCHARD LAKE RD STE 105, WEST BLOOMFIELD, MI 48322-3424
(248) 557-7788
(248) 557-7789
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301090317
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4301090317
—
MI
Enumeration date
05/04/2009
Last updated
01/30/2023
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